Individual
DR. KENNETH BARRY ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8060
Mailing address
PO BOX 13605, GREENSBORO, NC 27415-3605
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9701565
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1117Q
BCBS NC
NC
01
—
5782601
AETNA
NC
01
—
78112
MEDCOST
NC
05
—
891117Q
—
NC
Enumeration date
06/15/2006
Last updated
07/09/2007
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