Individual
KYLEE ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
Mailing address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17946
NV
207Q00000X
Family Medicine Physician
Primary
20636
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14240674
CAQH
—
05
—
1770844144
—
NV
Enumeration date
06/01/2012
Last updated
06/29/2023
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