Roberson, Kelly A

Roberson, Kelly A is an individual health care provider with primary practice located at 4206 Retama Cir , Victoria TX 77901-2765. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Roberson, Kelly A can be contacted via phone (361) 582-0611.

Contact Information

Primary practice address
4206 Retama Cir Victoria TX 77901-2765
Fax: (361) 582-0555
Website:

Health care specialties

Profile Details

NPI number 1265475008
LBN Legal business name Roberson, Kelly A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265475008 NPPES
Texas MEDICAID 164704201

Popular Providers