Individual
DR. KENRICK HAMILTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 777-5381
Mailing address
100 WELTON DR, CUMBERLAND, MD 21502-1336
(301) 777-7900
(301) 777-5381
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
10481
WV
207N00000X
Dermatology Physician
Primary
D0020835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971511800
—
MD
Enumeration date
08/26/2005
Last updated
07/12/2010
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