Basic Information
Provider Information
NPI: 1558693085
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBERTS
FirstName: KARI
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1821 HILLANDALE RD.
Address2: SUITE 25A
City: DURHAM
State: NC
PostalCode: 27705
CountryCode: US
TelephoneNumber: 9192313966
FaxNumber: 9192313912
Practice Location
Address1: 1821 HILLANDALE RD SUITE 25A
Address2: DUKE ASTHMA ALLERGY AND AIRWAY CENTER
City: DURHAM
State: NC
PostalCode: 27705
CountryCode: US
TelephoneNumber: 9196844384
FaxNumber: 9196817919
Other Information
ProviderEnumerationDate: 02/09/2010
LastUpdateDate: 12/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X5004643NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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