NPI 1508032384

Kyle G Roberts, CPED

Practitioner Orthotic Fitter Wales, WI

Practice location

Address: W314s2556 Penny Ln, Wales, WI 53183-9671
Phone: (262) 968-3643

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1508032384
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2008
Record last updated: 2 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.