Roberts, Kimberley

Roberts, Kimberley is an individual health care provider with primary practice located at 53 Fremont St , Machias ME 04654-1320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Roberts, Kimberley can be contacted via phone (207) 255-3400.

Contact Information

Primary practice address
53 Fremont St Machias ME 04654-1320
Phone: (207) 255-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R028815 Maine

Profile Details

NPI number 1083645873
LBN Legal business name Roberts, Kimberley
Credentials PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 21st, 2014 - about 10 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 1083645873 NPPES
Maine MEDICAID 258550099

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