Individual
ERIC N ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
101 CHAD ST, CLOVER FORK CLINIC, EVARTS, KY 40828-8200
(606) 837-2108
(606) 837-9389
Mailing address
101 CHAD ST, EVARTS, KY 40828-8200
(606) 837-2108
(606) 837-9389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1849
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100273510
—
KY
Enumeration date
10/01/2013
Last updated
01/31/2024
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