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Individual
KENNETH ANDRE ROBERTS II
Active
Individual
KENNETH ANDRE ROBERTS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007826
IL
133V00000X
Registered Dietitian
2019029751
MO
Other
Enumeration date
09/18/2019
Last updated
09/15/2021
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