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NPI Code Detail

MEDICARE: DR. KENNETH HUME ROBERTS MD

MEDICARE:  DR. KENNETH HUME ROBERTS  MD
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
1207R00000XInternal Medicine Physician0101035516VA

General Provider Information

NPI Number : 1487620373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH HUME ROBERTS MD
Provider Business Mailing Address
First Line : 7041 LEE PARK RD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-3682
Country : US
Telephone Number : 804-746-3505
Fax Number : 804-723-3324
Provider Business Practice Location Address
First Line : 7041 LEE PARK RD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-3682
Country : US
Telephone Number : 804-746-3505
Fax Number : 804-723-3324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 05/13/2010

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Directions to “ DR. KENNETH HUME ROBERTS MD” Practice Location

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