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

MS. Kimberly Roberson, PA

Individual provider Emergency Medicine Physician · NPI 1083666796

MS. Kimberly Roberson, PA is an Emergency Medicine Physician in Kenosha, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Spring St, Racine, WI 53405-1667 — (262) 687-4479

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1708 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 1708 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1708 (WI)

Record details

NPI number1083666796
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

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