NPI 1134260847

Kitty A. Roark

Practitioner Prosthetic/Orthotic Supplier Shreveport, LA

Practice location

Address: 855 Pierremont Rd Suite 126, Shreveport, LA 71106-2084
Phone: (318) 868-5851
Fax: (318) 798-3348

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Louisiana →

Registry record

NPI: 1134260847
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2007
Record last updated: 31 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.