Individual
KRISTINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
6578 CLIFFSIDE AVE NW, MASSILLON, OH 44646-9589
(330) 844-8743
Mailing address
6578 CLIFFSIDE AVE NW, MASSILLON, OH 44646-9589
(330) 844-8743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070
LICENSE-DIETITIAN
OH
01
—
707831
REGISTRATION-DIETITIAN
OH
Enumeration date
04/11/2013
Last updated
12/19/2019
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