Carroll Kenneth Roberts
Driver • Fredericktown, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carroll Roberts has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Carroll Roberts was a registered Driver practicing in Fredericktown, OH. Throughout an active medical career spanning 2 years, Carroll Roberts provided care at the practice location at 165 TAYLOR ST until profile deactivation on 2022-11-17.
Practice Location & Contact Primary Location
165 Taylor St
Fredericktown, OH 430191027
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Fredericktown, OH
Practicing in Fredericktown, OH (1080 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 17, 2022
NPI status registered as active in NPPES database
Registered at 165 TAYLOR ST, FREDERICKTOWN, OH 430191027 (Tel: 4195605859)
Registered at 165 TAYLOR ST, FREDERICKTOWN, OH 430191027 (Tel: 4195605859)
Recorded as CARROLL ROBERTS
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
165 Taylor St
Fredericktown, OH 430191027
Phone: 4195605859
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