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KENNETH C ROBERTS DO

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194890848

Individual Registrant:
 KENNETH C ROBERTS DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
400 VETERANS  BILOXY, MS 39531 US
Tel: 228-523-4555  Fax: --

Contact information for business:
PO BOX 850299  YUKON, OK 73085-0299 US
Tel: 985-966-3757  Fax: --

Registration Information:
NPI: 1194890848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
OK2974
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MS18538
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
LA021531

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MS - Page 1

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