Individual
MRS. KENDRA B ROBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
62 MERCY CT, IRVINE, KY 40336-1331
(606) 723-5142
Mailing address
1205 MOBERLY RD, RICHMOND, KY 40475-9236
(859) 200-4789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC671
KY
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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