Individual
MARILYN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 NW 45TH ST, KANSAS CITY, MO 64116-4628
(913) 226-8118
Mailing address
PO BOX 1054, MISSION, KS 66222-0054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-99577-042
KS
163W00000X
Registered Nurse
2006038591
MO
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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