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Contact Information

KAITLYN J ROBERTS, PA-S
642 STATE ROUTE 93 HWY
SUGARLOAF, PA18249
 Phone: 570-788-6363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KAITLYN J ROBERTS · (Female)

NPI Number 1114608338
Status Active
Credentials PA-S
Entity Individual
Enumeration date 07/31/2023
Last updated 12/11/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA065227
Hospital affiliation(s) Not Available
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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