MRS. Kitty A. Roark
NPI #1134260847 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1134260847
- Entity Type
- Individual
- Name
- MRS. Kitty A. Roark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Mar 31, 2017
Practice Location
- Address
- 855 PIERREMONT RD
- Address 2
- SUITE 126
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-2084
- Phone
- (318) 868-5851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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