Individual
KATHLEEN COLETTE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 MILL ST, ARCADIA, MI 49613-5132
(231) 645-8231
Mailing address
3201 MILL ST, PO BOX 183, ARCADIA, MI 49613-5132
(231) 645-8231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703045460
MI
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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