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Contact Information

THERESA E ROBERTSON, MD
4320 WORNALL RD STE 530
KANSAS CITY, MO64111-5942
 Phone: 816-932-7900
 Fax: 816-932-9868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THERESA E ROBERTSON · (Female)

NPI # 1215019518
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2006
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2004031001
  • MS License # 22642
  • OK License # 39735
  • TX License # U6795
  • LA Medicaid 2407015
  • MS Medicaid 08220715
  • OK Medicaid 201078750A
Hospital affiliation(s)
  • POPLAR BLUFF REGIONAL MEDICAL CENTER - (Acute Care)
    3100 OAK GROVE ROAD
    POPLAR BLUFF, MO 63901
  • ST LUKES HOSPITAL OF KANSAS CITY - (Acute Care)
    4401 WORNALL ROAD
    KANSAS CITY, MO 64111
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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