Roberts, Kenneth Andre
Roberts, Kenneth Andre is an individual health care provider with primary practice located at 922A Talon Dr , O Fallon IL 62269-1848. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Roberts, Kenneth Andre can be contacted via phone (618) 688-2038.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 2019029751 | Missouri |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.007826 | Illinois |
Profile Details
| NPI number | 1124678578 |
|---|---|
| LBN Legal business name | Roberts, Kenneth Andre |
| Credentials | MA, RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2019 |
| Last updated | Sep 15th, 2021 - about 3 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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