Organization
DR KEVIN ROACH DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M ROACH DC (OWNER)
(314) 229-0769
Entity
Organization
Contact information
Practice address
102 E BOONESLICK RD, WARRENTON, MO 63383-2004
(636) 456-1861
Mailing address
102 E BOONESLICK RD, WARRENTON, MO 63383-2004
(636) 456-1861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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