Individual
KASEY LYNN ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7200 STATE HIGHWAY 161 STE 100, IRVING, TX 75039-3800
(972) 853-5033
Mailing address
3709 CROMWELL DR, CARROLLTON, TX 75007-2850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1056682
TX
Other
Enumeration date
10/19/2021
Last updated
11/01/2022
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