Individual
ROLAND M DAREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(785) 456-9467
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 343-3545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0430151
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0430151
KANSAS LICENSE
KS
05
—
100456690A
—
KS
05
—
100456690B
—
KS
Enumeration date
08/31/2005
Last updated
02/11/2025
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