IndividualActive
Carol Roark, MD
NPI 1669471058 · Pediatrics Physician · Newport, KY
Provider details
- NPI number
- 1669471058
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 22479 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
215 E 11th St
Newport, KY 41071-2203
Phone: (859) 655-6100
Fax: (859) 655-6186
Approximate (ZIP-level) locationGet directions
Mailing address
215 E 11th St
Newport, KY 41071-2203
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.