Individual
KELLY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 NE AVONDALE AVE, BARTLESVILLE, OK 74006-1702
(918) 327-5849
Mailing address
405 NE AVONDALE AVE, BARTLESVILLE, OK 74006-1702
(918) 327-5849
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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