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Individual

KIMBERLY ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
366 WALLER AVE STE 103, LEXINGTON, KY 40504-2920
(859) 317-2051
(859) 317-6495
Mailing address
700 HOPE HILL RD, HOPE, KY 40334-7002
(859) 317-2051
(859) 317-6495

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4974776
CIGNA BEHAVIORAL HEALTHCARE
KY
01
5007654
PASSPORT HEALTH PLAN
KY
05
7100292090
KY
Enumeration date
10/11/2013
Last updated
12/10/2014
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