Individual
KIM J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5801 BREMO RD, AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC, RICHMOND, VA 23226-1907
(973) 660-9334
(757) 668-8658
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024082296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118514
—
VA
05
—
8052190
—
NC
Enumeration date
07/11/2006
Last updated
02/16/2016
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