Individual provider · Type 1 NPI

Jennifer Roberts, PA-C

Surgical Physician Assistant · Kettering, OH

NPI number 1497902944 Active

Practice location

3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263

Fax (937) 294-9010

Mailing address

3533 Southern Blvd, Suite 5650
Kettering, OH 45429-1264

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50.002811 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1497902944

Jennifer Roberts, PA-C's National Provider Identifier is 1497902944, issued on Aug 26, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kettering, OH. The record was last updated on Dec 17, 2020.