Individual
DR. KEVIN ONEAL ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
172 PARKWAY PLAZA LOOP, WHITESBURG, KY 41858
(606) 633-4251
(606) 633-7166
Mailing address
172 PARKWAY PLAZA LOOP, WHITESBURG, KY 41858
(606) 633-4251
(606) 633-7166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7398
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000668
—
KY
Enumeration date
05/04/2007
Last updated
08/19/2016
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