Roberts, Kim

Roberts, Kim is an individual health care provider with primary practice located at 3212 N Windsong Dr Fl 2 , Prescott Valley AZ 86314-2255. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roberts, Kim can be contacted via phone (928) 583-1000.

Contact Information

Primary practice address
3212 N Windsong Dr Fl 2 Prescott Valley AZ 86314-2255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10507 Arizona
Dental Providers / General Practice 1223G0001X 142369-9922 Utah

Profile Details

NPI number 1508928169
LBN Legal business name Roberts, Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 20th, 2019 - about 5 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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