Individual
DR. KEVIN D ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
927
WI
213E00000X
Podiatrist
SC003533L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014689160003
—
PA
05
—
43242000
—
WI
Enumeration date
07/12/2005
Last updated
04/25/2024
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