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Individual
DR. KEVIN A ROBERTS
Active
Individual
DR. KEVIN A ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
162482-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841630033
MAILHANDLERS
UT
01
—
870395551
CHP
UT
05
—
870395551005
—
UT
01
—
879470
FIRST HEALTH
UT
Enumeration date
08/31/2006
Last updated
10/25/2012
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