Kenneth Roberts's National Provider Identifier (NPI) Details
Kenneth Roberts, LADC
NPI: 1740503556
Enumeration Date: 2010-03-08
Last updated: 2024-08-02
Sole Proprietor: NO
Status: active
Postal Address: 366 PRIOR AVE N, SAINT PAUL, MN
Phone: 651-644-1304
Primary Practice Address: 366 PRIOR AVE N, SAINT PAUL, MN
Practice's phone: 651-644-1304