KENNETH D ROARK PA-C - NPI 1518019447 - Family Medicine in Albuquerque, NM

Q: What is Kenneth Roark's NPI number?

The NPI number for Kenneth Roark is 1518019447. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Kenneth Roark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Roark was last updated on August 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kenneth D Roark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH D ROARK PA-C (NPI 1518019447) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (97-PA20) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518019447

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH D ROARKCredential: PA-C

Location AddressPMG URGENT CARE, 5901 HARPER DRIVE NEAlbuquerque, NM 87109

Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354

Phone(505) 823-8519

Fax(505) 823-8355

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 14, 2008

✔ NPI 1518019447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · 97-PA20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PMG URGENT CARE, Albuquerque, NM 87109

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