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Individual
KATHERINE JO ROBERTS
Active
Individual
KATHERINE JO ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010879800
—
FL
01
—
1026801
STAYWELL (MEDICAID) AND WELLCARE (MEDICARE).
FL
01
—
398636
AVMED
FL
01
—
5616875
AETNA
FL
01
—
P01283318
RAILROAD MCR
FL
01
—
P1023220
FREEDOM
FL
01
—
P961417
OPTIMUM
FL
01
—
Y09W3
BCBS
FL
Enumeration date
07/06/2006
Last updated
02/07/2017
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