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Individual

DR. KEN ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
20300 W KELLOGG DR, GODDARD, KS 67052-9500
(316) 794-2900
(316) 794-3367
Mailing address
20300 W KELLOGG DR, GODDARD, KS 67052-9500
(316) 794-2900
(316) 794-3367

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114578
KS

Other

Enumeration date
08/28/2014
Last updated
08/28/2014
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