Individual
MR. KEVIN ROTH ROEUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13254 COPLAND CT, SILVER SPRING, MD 20904-7105
(301) 910-2107
Mailing address
13254 COPLAND CT, SILVER SPRING, MD 20904-7105
(301) 910-2107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05534
MD
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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