Individual
MR. KENNETH L ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
3116 WILLETT DR, LARAMIE, WY 82072
(307) 745-8800
(307) 745-4150
Mailing address
3116 WILLETT DR, LARAMIE, WY 82072
(307) 745-8800
(307) 745-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2617A
WY
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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