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Individual

KENNETH C ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021531
LA
207R00000X
Internal Medicine Physician
Primary
18538
MS
207R00000X
Internal Medicine Physician
2974
OK

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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