Individual
MS. PATRICIA ANN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1331700031
KS
363LF0000X
Family Nurse Practitioner
44636
KS
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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