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

Mr. Kenneth M. Roberts, PA

Individual provider Physician Assistant · NPI 1285748954

Mr. Kenneth M. Roberts, PA is a Physician Assistant in Ormond Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

300 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-5956
Phone: (386) 673-5100
Fax: (386) 673-6014
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285748954
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESMay 15, 2008

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