| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY DAWN ROBERTSON | 1902519929 | 2023-01-22 |
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 Type | Individual |
| Provider Name | Kimberly Dawn Robertson |
| Practice Office Address | 1101 E MONROE AVE MCALESTER, OK US |
| Practice Office Telephone | 9183509895 |
| Mailing Address | 1101 E MONROE AVE MCALESTER, OK 745014815 US |
| Business Telephone | 9183509895 |
| Code | Practice | License No State |
|---|---|---|
| 175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist |