Individual
MR. KEVIN C ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
9930 JOHNNYCAKE RIDGE RD, SUITE 6B, MENTOR, OH 44060-6752
(440) 357-6677
(440) 357-6681
Mailing address
7235 S MERLYN PL, PAINESVILLE, OH 44077-9533
(440) 357-6677
(440) 357-6681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2105
OH
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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