MEDICARE: DR. KATHERINE A ROBERTS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	101059029	VA

General Provider Information

NPI Number	:	1437348851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE A ROBERTS M.D.

Provider Business Mailing Address
First Line	:	207 BULIFANTS BLVD STE D
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5732
Country	:	US
Telephone Number	:	757-565-9586
Fax Number	:	757-565-9588

Provider Business Practice Location Address
First Line	:	7151 RICHMOND RD UNIT 402
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-7234
Country	:	US
Telephone Number	:	757-565-9586
Fax Number	:	757-565-9588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	08/16/2023

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