Whalio Doctors

NPI 1629395405

Jerry Thomas Roberts, DPM

Practitioner Foot & Ankle Surgery Podiatrist Somerset, KY

Practice location

Address
117 Tradepark Dr, Somerset, KY 42503-3428
Phone
(606) 679-2773
Fax
(606) 679-4626

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 00439 (KY)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD001206 (GA)

Registry record

NPI
1629395405
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2010
Record last updated
16 Oct 2015

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.