Individual
DR. KELLEN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
412 E 30TH AVE, SPOKANE, WA 99203-2556
(509) 448-7300
(509) 448-7382
Mailing address
412 E 30TH AVE, SPOKANE, WA 99203-2556
(509) 448-7300
(509) 448-7382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60649654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075649
—
WA
Enumeration date
12/21/2015
Last updated
09/17/2021
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