Shane Alan Roark
Shane Alan Roark is a Peer Specialist in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.
- Licensed in
- KY
- In the registry since
- 2024
Practice location Address checks out
1351 Newtown PikeLexington, KY 40511-1275
Phone: (859) 253-1686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (KY) |
|---|
Record details
| NPI number | 1558110551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 14, 2024 |
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1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 · (859) 253-1686