Individual
KALEB ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 S GREENWOOD DR, APT 20, JOHNSON CITY, TN 37604-3261
(276) 219-1884
Mailing address
2918 S GREENWOOD DR APT 20, JOHNSON CITY, TN 37604-3262
(276) 219-1884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202420
TN
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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