| Kenneth Andre Roberts Ii, MA, RD, LDN | |
|
922a Talon Dr, O Fallon, IL 62269-1848 | |
| (618) 688-2038 | |
| Not Available |
| Full Name | Kenneth Andre Roberts Ii |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 922a Talon Dr, O Fallon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124678578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2019029751 (Missouri) | Secondary |
| 133V00000X | Dietitian, Registered | 164.007826 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Andre Roberts Ii, MA, RD, LDN 922a Talon Dr, O Fallon, IL 62269-1848 Ph: (618) 671-6501 | Kenneth Andre Roberts Ii, MA, RD, LDN 922a Talon Dr, O Fallon, IL 62269-1848 Ph: (618) 688-2038 |
Taylor Aarns, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 828 Park Entrance Pl Apt 12, O Fallon, IL 62269 Phone: 618-795-5870 | |
Top Nutrition & Performance, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 922 Talon Dr Ste A, O Fallon, IL 62269 Phone: 618-206-8302 | |
Mrs. Kellee Ann Marshall, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 775 Sunset Blvd, O Fallon, IL 62269 Phone: 618-589-9051 |