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Individual
DR. KEVIN D ROBERTS
Active
Individual
DR. KEVIN D ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-20360
UNITED HEALTHCARE
AR
01
—
11127000000
QUAL CHOICE
AR
Enumeration date
08/24/2005
Last updated
04/18/2008
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