NPI 1518291384

Kevin a Roush, CSTFA

Practitioner Surgical Assistant Casper, WY

Practice location

Address: 2211 Fairview Ave, Casper, WY 82609-2907
Phone: (307) 277-3209
Fax: (307) 472-1881

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Wyoming →

Registry record

NPI: 1518291384
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2009
Record last updated: 28 Sep 2009

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.