| Doctor Name: | MS. KIMBERLY ROBERSON |
| NPI Number: | 1083666796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1708 |
| Business Practice Address: | 3801 Spring St Racine Emergency Physicians Racine, WI - 534051667 |
| Business Phone Number: | 2626874479 |
| Business Fax Number: | |
| Mailing Address: | 3801 Spring St, Racine Emergency Physicians RACINE |
| State: | WI |
| Postal Code: | 534051667 |
| Phone Number: | 2626874479 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 08/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1708 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |