Individual
ROBERT LANDON ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155271
MO
367500000X
Certified Registered Nurse Anesthetist
43-557703-052
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917321408
—
MO
Enumeration date
09/25/2006
Last updated
05/02/2025
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