Individual
DR. KENNETH JAMES ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 5TH AVE, SAINT ALBANS, WV 25177-2809
(304) 722-3553
Mailing address
215 5TH AVE, SAINT ALBANS, WV 25177-2809
(304) 722-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4276
WV
Other
Enumeration date
06/20/2017
Last updated
08/07/2019
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