Individual
MRS. CHRISTOPHER ROATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
14209 KING ST, OVERLAND PARK, KS 66221-8009
(913) 636-4106
Mailing address
14209 KING ST, OVERLAND PARK, KS 66221-8009
(913) 636-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020039692
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79762-011
KS
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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