Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kathy Roark

Individual provider Customized Equipment (DME) · NPI 1154612448

MS. Kathy Roark is a Customized Equipment (DME) in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

4194 Santa Terrasa Pl
Las Vegas, NV 89121-6436
Phone: (702) 451-8285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1154612448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2011
Last updated in NPPESApril 21, 2011
Mailing address4194 Santa Terrasa Pl, Las Vegas, NV 89121-6436

Other providers in Las Vegas