Individual provider
KIM ROBERTS
CMS NPPES lists KIM ROBERTS as an individual provider record with NPI 1649162629. The current record reports a primary practice location in ACCOVILLE, WV and primary taxonomy code 374U00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location11 TERRY GUY CIRCLEACCOVILLE, WV 25606
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
374U00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 16, 2025
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.