| Doctor Name: | KIMBERLEY ROBERTS |
| NPI Number: | 1083645873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS-BC |
| License Number: | R028815 |
| Business Practice Address: | 53 Fremont St Machias, ME - 046541320 |
| Business Phone Number: | 2072553400 |
| Business Fax Number: | |
| Mailing Address: | 30 Boynton St, EASTPORT |
| State: | ME |
| Postal Code: | 046311306 |
| Phone Number: | 2072553400 |
| Fax Number: | 2072553401 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | R028815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |