Individual
KAYLA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 CRESTVIEW DR, MANCHESTER, KY 40962-7012
(606) 594-1769
Mailing address
65 HWY 1003, SOMERSET, KY 42501
(606) 391-9425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4014214
KY
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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