Kenneth B Robertson MD

NPI 1023093465 - Internal Medicine - 207R00000X

NPI Details
NPI 1023093465
Gender Male
Enumeration Date 12/08/2005
Last Updated 03/24/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
12140 WOODCREST EXECUTIVE DR
SAINT LOUIS MO, 63141-5048, US
Phone (314) 336-4574
Fax (800) 505-4794
Business Location
12140 WOODCREST EXECUTIVE DR
SAINT LOUIS MO, 63141-5048, US
Phone (314) 336-4574
Fax (800) 505-4794
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01039887
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According to our database, Kenneth B Robertson MD NPI is 1023093465, taxonomy code is 207R00000X and license number is 01039887, license state is located at Indiana. Kenneth B Robertson MD physically located at 12140 Woodcrest Executive Dr, Saint Louis MO, 63141-5048. NPI Number Kenneth B Robertson MD has the Individual type.

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1023093465 NPI number is provided on an as is basis without warranty of any kind. 1023093465 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth B Robertson MD are for informational purposes only.