Individual
KATIE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W UNION ST, ATHENS, OH 45701-2312
(740) 764-4529
Mailing address
120 W MAIN ST, CIRCLEVILLE, OH 43113-1654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.518513
OH
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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