Kachelle Roark, HAIRLOSS SPECIALIST

NPI #1821666272 in North Chesterfield, Virginia

Provider Information

NPI Number: 1821666272
Entity Type: Individual
Name: Kachelle Roark, HAIRLOSS SPECIALIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: HAIRLOSS SPECIALIST
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 1818 KNOLLWOOD DR
City: North Chesterfield
State: Virginia
ZIP Code: 23235-3853
Phone: (614) 537-4083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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