Individual
HEATHER LEANNE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0533067
KS
207Q00000X
Family Medicine Physician
0533067
KS
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
05-33067
KS
Other
Enumeration date
05/03/2007
Last updated
03/02/2021
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