Dr. Kenneth James Roeger, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1982178018
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1982178018
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth James Roeger
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2019
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP140339 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 836156 | TX |
Practice location
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-6393 · Fax 214-456-5587
Mailing address
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-6393 · Fax 214-456-5587
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