Individual
KIMBERLY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122-4318
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041529629
IL
163W00000X
Registered Nurse
10005662
OR
163W00000X
Registered Nurse
Primary
2010004155
MO
Other
Enumeration date
07/31/2024
Last updated
08/06/2024
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