Kenneth Roy's National Provider Identifier (NPI) Details
Kenneth Roy, M.A. LAC
NPI: 1609099761
Enumeration Date: 2007-04-10
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 110 SKYLINE DR, RUSSELLVILLE, AR
Phone: 479-967-5570
Primary Practice Address: 110 SKYLINE DR, RUSSELLVILLE, AR
Practice's phone: 479-967-5570