Individual
DR. KEVIN ROACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3838 N CAUSEWAY BLVD, SUITE 2200, METAIRIE, LA 70002-8194
(504) 849-1409
Mailing address
2071 TIMBERCREEK LN, MANDEVILLE, LA 70448-7531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD,027139
LA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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