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Individual
ANN ELIZABETH ROBERTS
Active
Individual
ANN ELIZABETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY26442
KY
208D00000X
General Practice Physician
26442
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617689
ANTHEM
KY
01
—
3722091000
PASSPORT ADVANTAGE
KY
01
—
50024361
PASSPORT
KY
05
—
64264427
—
KY
01
—
P00746838
RAILROAD MEDICARE
KY
Enumeration date
09/23/2005
Last updated
12/05/2018
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