Individual
KAITLYN JUNKO ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
642 STATE ROUTE 93 HWY, SUGARLOAF, PA 18249
(570) 788-6363
Mailing address
2100 MACK BLVD, 4TH FLOOR, ALLENTOWN, PA 18103
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065227
PA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2023
Last updated
12/11/2023
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