Provider Demographics
NPI:1639972904
Name:ROLAND, KATHRYN ELINOR (DO)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ELINOR
Last Name:ROLAND
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S PROMENADE BLVD APT 708
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1729
Mailing Address - Country:US
Mailing Address - Phone:501-289-1224
Mailing Address - Fax:
Practice Address - Street 1:600 S PROMENADE BLVD APT 708
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1729
Practice Address - Country:US
Practice Address - Phone:501-289-1224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program