Individual
DR. KEITH M ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
439 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4901
(804) 765-5206
(804) 765-5809
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 765-5206
(804) 765-5809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101056303
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6208797
—
VA
Enumeration date
07/07/2005
Last updated
02/05/2020
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