MRS. KITTY A. ROARK NPI 1134260847

NPI Information

MRS. Kitty A. Roark is a prosthetic orthotic supplier in Shreveport, LA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MRS. Kitty A. Roark NPI is 1134260847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 PIERREMONT RD
SUITE 126
SHREVEPORT, LA
ZIP 71106-084
Phone: (318) 868-5851
Fax: (318) 798-3348

The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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