Roberson, Kimberly

Roberson, Kimberly is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Roberson, Kimberly can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1708 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1708 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1708 Wisconsin

Profile Details

NPI number 1083666796
LBN Legal business name Roberson, Kimberly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 15th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083666796 NPPES
Other 007806261U HUMANA
MEDICAID 41986600 HUMANA

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