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Individual

AUDREY M ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22725
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024978
BCBS
KS
01
100405
HPK
KS
01
12149397
MULTIPLAN
KS
01
168637
COVENTRY
KS
01
1707
PHS
KS
Enumeration date
06/28/2006
Last updated
07/13/2007
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