Individual
DR. KEVIN M ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3221 DOMAIN ST, SAINT CHARLES, MO 63301-8229
(636) 724-2742
Mailing address
3221 DOMAIN ST, SAINT CHARLES, MO 63301-8229
(636) 724-2742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008001506
MO
Other
Enumeration date
02/26/2008
Last updated
05/21/2009
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