Individual
KEVIN JAY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 WALDEN RIDGE DR, SUITE 200, ASHEVILLE, NC 28803-8587
(828) 684-0414
(828) 684-0677
Mailing address
3 WALDEN RIDGE DR, SUITE 200, ASHEVILLE, NC 28803-8586
(828) 684-0414
(828) 684-0677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30228
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72192
BCBS ID
NC
05
—
8972192
—
NC
Enumeration date
10/06/2005
Last updated
11/29/2011
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