Roberts, Kathryn Anne

Roberts, Kathryn Anne is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Roberts, Kathryn Anne can be contacted via phone (360) 428-2550.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274
Fax: (360) 428-6402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD 60575533 Washington

Profile Details

NPI number 1487924254
LBN Legal business name Roberts, Kathryn Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Aug 1st, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487924254 NPPES
Washington MEDICAID 2029144

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