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Contact Information

KEVIN S ROOF, MD
170 MEDICAL PARK RD
SUITE 100
MOORESVILLE, NC28117-8540
 Phone: 704-235-2599
 Fax: 704-333-3397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KEVIN S ROOF · (Male)

NPI Number 1528027547
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 11/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200400407
  • SC License # 26685
  • NC Medicaid 89136TK
  • SC Medicaid N07004
  • Other 2862751 CIGNA
  • Other D5200 MEDCOST
  • Other 804283 PARTNERS
  • Other 2474226 UNITED HEALTHCARE
  • NC Other 136TK BLUE CROSS
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    200 HAWTHORNE LANE BOX 33549
    CHARLOTTE, NC 28233
  • PRESBYTERIAN HOSPITAL HUNTERSVILLE - (Acute Care)
    10030 GILEAD ROAD
    HUNTERSVILLE, NC 28078
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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