Individual provider · Type 1 NPI

Jerry Thomas Roberts, D.P.M.

Foot & Ankle Surgery Podiatrist · Somerset, KY

NPI number 1629395405 Active

Practice location

117 Tradepark Dr
Somerset, KY 42503-3428

Call (606) 679-2773 Map

Fax (606) 679-4626

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XPOD001206 (GA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X00439 (KY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1629395405

Jerry Thomas Roberts, D.P.M.'s National Provider Identifier is 1629395405, issued on May 3, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Somerset, KY. The record was last updated on Oct 16, 2015.