Individual
KEVIN T ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3792
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3792
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
10/23/2025
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