Mr. Kenneth M. Roberts, P.A.
Mr. Kenneth M. Roberts is a Physician Assistant provider (Physician Assistant) practicing in Ormond Beach, FL, registered in the NPPES registry with NPI 1285748954 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285748954 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Kenneth M. Roberts |
| Credential | P.A. |
| Sex | Male |
| Practice address | 300 CLYDE MORRIS BLVD, SUITE C, Ormond Beach, FL, 32174 |
| Phone | 3866735100 |
| Fax | 3866736014 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2008-05-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | — | — |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Kenneth Roberts, P.A. NPI: 1285748954 Taxonomy: 363A00000X (Physician Assistant) Address: 300 CLYDE MORRIS BLVD, SUITE C, Ormond Beach, FL, 32174
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982692943 | Gastroenterology Consultants, P.A. | Organization | Specialist | Ormond Beach, FL |
| 1033160981 | Kristen Barnekov Rulka | Individual | Physician Assistant | Ormond Beach, FL |
| 1679520977 | Dane Hermansen | Individual | Urology Physician | Ormond Beach, FL |
| 1164479598 | Jay Guido | Individual | Urology Physician | Ormond Beach, FL |
| 1831136977 | Bert Morrow | Individual | Urology Physician | Ormond Beach, FL |
| 1194765495 | Gregory Parr | Individual | Urology Physician | Ormond Beach, FL |
| 1669483137 | Physicians Ambulatory Surgery Center Inc | Organization | Ambulatory Surgical Clinic/Center | Ormond Beach, FL |
| 1336286251 | Florida Urology Center PA | Organization | Urology Physician | Ormond Beach, FL |
Verify this record
Cross-check NPI 1285748954 against the authoritative CMS record: view Mr. Kenneth M. Roberts on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kenneth Roberts?
Where does Kenneth Roberts practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-15.