# KENNETH C ROBERTS DO APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568545143
- **Authorized official:** KENNETH C ROBERTS DO (PRESIDENT)
- **Authorized official phone:** (405) 324-7332

## Contact information

- **Practice address:** 95 E FAIRWAY DRIVE, COVINGTON, LA 70433
- **Practice address phone:** (985) 966-3757
- **Mailing address:** PO BOX 850299, YUKON, KS 73085-0299
- **Mailing address phone:** (405) 324-7332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020