National Provider Identifier Database

KATHLEEN A ROACH, RN PHN – NPI #1346424496
Case Management


Contact Information

KATHLEEN A ROACH, RN PHN
100 6TH STREET
POINT REYES STATION, CA94956
Phone: 415-473-3808
Fax: 415-473-3828
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X

* Indicates primary specialty

NPI Profile & details for KATHLEEN A ROACH

NPI Number 1346424496
Credentials RN PHN
Entity Individual
Enumeration date 12/26/2007
Last updated 12/26/2007 - About 18 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 292634
Hospital affiliation n/a

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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