Organization
KEVIN A ROBERTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROBERTS D.C. (OWNER)
(801) 621-1740
Entity
Organization
Contact information
Practice address
924 24TH ST, SUITE 2, OGDEN, UT 84401-2641
(801) 621-1740
Mailing address
924 24TH ST, SUITE 2, OGDEN, UT 84401-2641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
162481-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870395551005
—
UT
Enumeration date
12/28/2007
Last updated
12/28/2007
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