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JAMES P ROACH MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1619978830
Individual Registrant: JAMES P ROACH MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
129 S WINTER ST MIDWAY, KY 40347-1015 US
Tel: 859-846-4445 Fax: 859-846-4761
Tel: 859-846-4445 Fax: 859-846-4761
Contact information for business:
PO BOX 277 MIDWAY, KY 40347-0277 US
Tel: 859-846-4445 Fax: 859-846-4761
Tel: 859-846-4445 Fax: 859-846-4761
Registration Information:
NPI: 1619978830
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | KY | 21321 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 64213218 | KY | 05 |
