Individual
KENNETH WAYNE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15650 WALDEN RD APT 4302, MONTGOMERY, TX 77356-1780
(903) 571-3332
Mailing address
3030 E 29TH ST STE 102, BRYAN, TX 77802-2740
(979) 704-3258
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80346
TX
Other
Enumeration date
04/09/2019
Last updated
08/05/2025
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