Roberson, Kenneth Richard

Roberson, Kenneth Richard is an sole proprietor health care provider with primary practice located at 620 Oak Dr , Hurst TX 76053-5526. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Roberson, Kenneth Richard can be contacted via phone (254) 258-3057.

Contact Information

Primary practice address
620 Oak Dr Hurst TX 76053-5526
Phone: (254) 258-3057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14198 Texas

Profile Details

NPI number 1487265765
LBN Legal business name Roberson, Kenneth Richard
Credentials LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2020
Last updated Aug 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers