Roark, Larry B
Roark, Larry B is an individual health care provider with primary practice located at 2317 Cumberland Ave , Middlesboro KY 40965-2834. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Roark, Larry B can be contacted via phone (606) 242-3100.Contact Information
Primary practice address
2317 Cumberland Ave
Middlesboro KY 40965-2834
Phone: (606) 242-3100
Fax: (606) 242-3984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3005024 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3005024 | Kentucky |
Profile Details
| NPI number | 1437281649 |
|---|---|
| LBN Legal business name | Roark, Larry B |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jun 10th, 2024 - about 2 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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