| Doctor Name: | KELLY C ROBERTS |
| NPI Number: | 1003027533 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | Q1725 |
| Business Practice Address: | 816 W Cannon St Department Of Radiology Fort Worth, TX - 761043146 |
| Business Phone Number: | 8173210404 |
| Business Fax Number: | 4695226889 |
| Mailing Address: | 816 W Cannon St, Department Of Radiology FORT WORTH |
| State: | TX |
| Postal Code: | 761043146 |
| Phone Number: | 8173210404 |
| Fax Number: | 4695226889 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | Q1725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |