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Individual

CALEY ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-7193
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-7193

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501750
KS
363AM0700X
Medical Physician Assistant
15-01750
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201106490A
KS
Enumeration date
10/14/2014
Last updated
12/29/2017
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