Individual
JOHNATHAN DEREK ROARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
116 PHELPS CT, BOWLING GREEN, KY 42104-7444
(270) 935-8077
Mailing address
116 PHELPS CT, BOWLING GREEN, KY 42104-7444
(270) 935-8077
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
42526
KY
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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