Individual
KRYSTLE JEANEEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8414 NAAB RD STE 120, INDIANAPOLIS, IN 46260-1972
(317) 338-7584
(317) 338-7494
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01077864A
IN
207Q00000X
Family Medicine Physician
Primary
01077864A
IN
207Q00000X
Family Medicine Physician
11017695A
IN
207Q00000X
Family Medicine Physician
R5196
TX
Other
Enumeration date
06/02/2014
Last updated
08/25/2022
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