Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH ANDRE ROBERTS II, MA, RD, LDN
ActiveKENNETH ANDRE ROBERTS II, MA, RD, LDN is a Registered Dietitian healthcare provider located in O FALLON, Illinois. NPI 1124678578 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · O FALLON, IL
Registration Details
- NPI Number
- 1124678578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2019 (6.8750778541122 yrs)
- Last Updated
- Sep 15, 2021
- Licenses
-
2019029751 (MO)164.007826 (IL)
Practice Information
- Address
-
922A TALON DRO FALLON, IL, 622691848Browse IL providers · Browse ZIP 62269
- Phone
- 6186882038
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLEE ANN MARSHALL | RD, LD | 1679716476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.