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Individual

EDITH L ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1419 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2722
(606) 526-9005
(606) 528-6531
Mailing address
1419 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2722
(606) 526-9005

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006448
KY
363LF0000X
Family Nurse Practitioner
6448P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100119120
KY
Enumeration date
06/02/2010
Last updated
02/13/2023
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