Individual
KIMBERLEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
53 FREMONT ST, MACHIAS, ME 04654-1320
(207) 255-3400
Mailing address
30 BOYNTON ST, EASTPORT, ME 04631-1306
(207) 255-3400
(207) 255-3401
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R028815
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258550099
—
ME
Enumeration date
07/06/2006
Last updated
01/21/2014
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