Dr. Kevin R. Roach, M.D.
Surgery in Hastings, MN. Individual provider (NPI-1).
NPI number1104895986
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1104895986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin R. Roach
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2006
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 40335 | MN | Yes |
Practice location
1285 Nininger RdHastings, MN 55033-1086
Phone 651-480-4200
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-5000
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