Roberts, Kenneth Lewis

Roberts, Kenneth Lewis is an individual health care provider with primary practice located at 366 Prior Ave N , Saint Paul MN 55104-5165. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Roberts, Kenneth Lewis can be contacted via phone (651) 644-1304.

Contact Information

Primary practice address
366 Prior Ave N Saint Paul MN 55104-5165
Phone: (651) 644-1304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302801 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1590 Minnesota

Profile Details

NPI number 1740503556
LBN Legal business name Roberts, Kenneth Lewis
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 21st, 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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