Roark, Carol

Roark, Carol is an individual health care provider with primary practice located at 215 E 11Th St , Newport KY 41071-2203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roark, Carol can be contacted via phone (859) 655-6100.

Contact Information

Primary practice address
215 E 11Th St Newport KY 41071-2203
Phone: (859) 655-6100
Fax: (859) 655-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22479 Kentucky

Profile Details

NPI number 1669471058
LBN Legal business name Roark, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 15th, 2021 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1669471058 NPPES
Kentucky MEDICAID 64224793

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