Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Glenn Roberts

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417749425

Kevin Glenn Roberts is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1111 W 17th St
Tulsa, OK 74107-1886
Phone: (940) 368-6521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417749425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 18, 2025

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