Roberts, Kenneth B

Roberts, Kenneth B is an individual health care provider with primary practice located at 15 York St Hunter Building, 1St Floor, New Haven CT 06510-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Roberts, Kenneth B can be contacted via phone (203) 688-1861.

Contact Information

Primary practice address
15 York St Hunter Building, 1St Floor New Haven CT 06510-3221
Phone: (203) 688-1861
Fax: (203) 785-4622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 032210 Connecticut

Profile Details

NPI number 1275522047
LBN Legal business name Roberts, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 31st, 2011 - about 14 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 1275522047 NPPES
Connecticut MEDICAID 001322106

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