Individual
KEVIN DANIEL ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000762
SD
Other
Enumeration date
08/24/2011
Last updated
03/13/2026
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