Individual
TARA ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2214 CANTERBURY DR, SUITE 202, HAYS, KS 67601-2375
(785) 623-2312
(785) 623-2323
Mailing address
2214 CANTERBURY DR STE 202, HAYS, KS 67601-2375
(785) 623-2312
(785) 623-2323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00907
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644070A
—
KS
Enumeration date
02/28/2006
Last updated
12/01/2025
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