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Mrs. Kitty A. Roark
Prosthetic/Orthotic Supplier in Shreveport, Louisiana
NPI 1134260847

Kitty A. Roark is a Prosthetic/Orthotic Supplier based in Shreveport, LA. Kitty A. Roark practices in Shreveport, LA. The NPI Number for Kitty A. Roark is 1134260847 and holds a License No. (Louisiana).

The current practice location address for Kitty A. Roark is 855 Pierremont Rd, Shreveport, LA and can be reached out via phone at 318-868-5851 and via fax at 318-798-3348.

Location: 855 Pierremont Rd, Shreveport, LA, 71106-2084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134260847
Provider Name
Kitty A. Roark
Credential
Provider Entity Type
Individual
Gender
Female
Address
855 Pierremont Rd, Shreveport, LA, 71106-2084
Phone Number
318-868-5851
Fax Number
318-798-3348
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1137383 05 LA
institution
Provider Business Practice Location Address Details
Address
855 Pierremont Rd
City
Shreveport
State
Louisiana
Zip
71106-2084
Phone Number
318-868-5851
Fax Number
318-798-3348
person
Provider Business Mailing Address Details
Address
855 Pierremont Rd
City
Shreveport
State
Louisiana
Zip
71106-2084
Phone Number
318-868-5851
Fax Number
318-798-3348
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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.
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