Robertson, Kenneth Dillon

Robertson, Kenneth Dillon is an sole proprietor health care provider with primary practice located at 3604 Fort Peyton Cir , St Augustine FL 32086-9101. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Robertson, Kenneth Dillon can be contacted via phone (904) 540-5310.

Contact Information

Primary practice address
3604 Fort Peyton Cir St Augustine FL 32086-9101
Phone: (904) 540-5310
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 6760 Florida

Profile Details

NPI number 1609070069
LBN Legal business name Robertson, Kenneth Dillon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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