Individual
MR. KEVIN JOSUE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
4041 CHOUTEAU AVE APT 126, SAINT LOUIS, MO 63110-1739
(305) 335-0280
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2023050232
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2019
Last updated
04/22/2024
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