Roberts, Kenneth E.

Roberts, Kenneth E. is an sole proprietor health care provider with primary practice located at 1970 Andrews Ave , Ozark AL 36360-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Kenneth E. can be contacted via phone (334) 774-1555.

Contact Information

Primary practice address
1970 Andrews Ave Ozark AL 36360-3726
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.9562 Alabama

Profile Details

NPI number 1598732521
LBN Legal business name Roberts, Kenneth E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2021 - about 5 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 1598732521 NPPES
Alabama MEDICAID 162537
Alabama MEDICAID 166960

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