Individual
SYDNEY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
(606) 439-3952
Mailing address
508 OAKHURST AVE, HAZARD, KY 41701-1764
(606) 438-4225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147653
KY
363L00000X
Nurse Practitioner
1147653
KY
363L00000X
Nurse Practitioner
Primary
3018011
KY
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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