Individual
DR. KATHRYN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
440 ASHEVILLE HWY, GREENEVILLE, TN 37743-4632
(423) 638-3371
(423) 638-8649
Mailing address
440 ASHEVILLE HWY, GREENEVILLE, TN 37743-4632
(423) 638-3371
(423) 638-8649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11219
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11219
STATE LICENSE
TN
Enumeration date
07/21/2020
Last updated
07/21/2020
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