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Individual

KIMERON L ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
42445 HWY 195 E, VILLAGE EAST SHOPPING CENTER, HALEYVILLE, AL 35565
(205) 486-8811
(205) 486-8812
Mailing address
42445 HWY 195 E, VILLAGE EAST SHOPPING CENTER, HALEYVILLE, AL 35565
(205) 486-8811
(205) 486-8812

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2198
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515 14392 ROB
BCBS OF ALABAMA PROV #
AL
Enumeration date
03/21/2007
Last updated
02/05/2013
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