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Individual
KRISTY M ROBERTSON
Active
Individual
KRISTY M ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006189
KY
363LF0000X
Family Nurse Practitioner
6189
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709640
ANTHEM PIN
KY
05
—
201016610
—
IN
05
—
7100148020
—
KY
Enumeration date
11/03/2009
Last updated
11/01/2019
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