Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth D Roark, PA-C

Individual provider Family Medicine Physician · NPI 1518019447

Kenneth D Roark, PA-C is a Family Medicine Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Pmg Urgent Care 5901 Harper Dr NE
Albuquerque, NM 87109
Phone: (505) 823-8519
Fax: (505) 823-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 97-PA20 (NM)

Record details

NPI number1518019447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 14, 2008

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