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Individual

MR. KEITH WESLEY ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2800 BLUE RIDGE RD, SUITE 400, RALEIGH, NC 27607-6478
(919) 787-5380
Mailing address
5050 EDWARDS MILL RD, APARTMENT D, RALEIGH, NC 27612-4439
(540) 915-3487

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001006432
NC
363A00000X
Physician Assistant
25MP00362300
NJ

Other

Enumeration date
12/30/2014
Last updated
03/26/2021
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