Roberts, Kenneth M.

Roberts, Kenneth M. is an individual health care provider with primary practice located at 300 Clyde Morris Blvd Suite C, Ormond Beach FL 32174-5956. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberts, Kenneth M. can be contacted via phone (386) 673-5100.

Contact Information

Primary practice address
300 Clyde Morris Blvd Suite C Ormond Beach FL 32174-5956
Phone: (386) 673-5100
Fax: (386) 673-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285748954
LBN Legal business name Roberts, Kenneth M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 15th, 2008 - about 18 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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