Individual
DR. KENT G ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 ERIN PARK DR STE 202, COLORADO SPRINGS, CO 80918-3427
(719) 955-0250
(719) 955-0250
Mailing address
6035 ERIN PARK DR STE 202, COLORADO SPRINGS, CO 80918-3427
(719) 955-0250
(719) 631-2567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34725
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347251
—
CO
Enumeration date
08/12/2005
Last updated
04/03/2018
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