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Search › Mississippi › 101YP2500X

Kattrina Roach, PHD

NPI 1568837870 · on the registry since 2015 · sole proprietor

Practice

Address
8829 Centre St
Southaven, MS 38671
Phone
(662) 280-5758
Fax
(662) 280-5708
Organisation at this address
Claycon Llc
Journeypure Southaven, Llc
Journeypure Southaven, Llc
Desoto Wellness Clinic Llc
Journeypure Mississippi Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
101YM0800X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi