Individual provider · Type 1 NPI

Kyle H. Roberts, DO

General Practice Physician · Tacoma, WA

NPI number 1104630904 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X2026046500 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104630904

Kyle H. Roberts, DO's National Provider Identifier is 1104630904, issued on Feb 3, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 16, 2026.