Kevin Daniel Roark, CRNA
NPI #1023398898 in Pierre, South Dakota
Provider Information
- NPI Number
- 1023398898
- Entity Type
- Individual
- Name
- Kevin Daniel Roark, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 24, 2011
- Last Updated
- Aug 24, 2011
Practice Location
- Address
- 801 E SIOUX AVE
- City
- Pierre
- State
- South Dakota
- ZIP Code
- 57501-3323
- Phone
- (605) 224-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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