Roach, Tabitha Louise

Roach, Tabitha Louise is an individual health care provider with primary practice located at 200 Brule St , Fort Knox KY 40121-6100. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Roach, Tabitha Louise can be contacted via phone (502) 626-9891.

Contact Information

Primary practice address
200 Brule St Fort Knox KY 40121-6100
Phone: (502) 626-9891
Fax: (502) 626-6140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1136348 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71012162A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3015334 Kentucky

Profile Details

NPI number 1336761253
LBN Legal business name Roach, Tabitha Louise
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2020
Last updated Jun 26th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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