Kimberly Dawn Robertson

NPI Registration Record

Provider / OrganizationNPIDate Certified
KIMBERLY DAWN ROBERTSON19025199292023-01-22

Kimberly Dawn Robertson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902519929. Registration indicates Kimberly Dawn Robertson is a provider of services with a specialization in Other Service Providers, Peer Specialist (Peer Specialist, Other Service Providers) (Peer Specialist, )

Entity TypeIndividual
Provider Name Kimberly Dawn Robertson
Practice Office Address1101 E MONROE AVE
Practice Office Telephone9183509895
Mailing Address1101 E MONROE AVE
MCALESTER, OK 745014815 US
Business Telephone9183509895
HPT Codes
License No
175T00000X PRIMARY
Other Service Providers
Peer Specialist
Peer Specialist
Other Service Providers
Peer Specialist
OPI Codes
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