Provider Demographics
NPI:1265762033
Name:ROBERTS, KENDALL RADBURNS (MD)
Entity type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:RADBURNS
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4800
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:9850 GENESEE AVE
Practice Address - Street 2:SUITE #340
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1224
Practice Address - Country:US
Practice Address - Phone:858-457-2043
Practice Address - Fax:858-457-2092
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2011-03-01
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Provider Licenses
StateLicense IDTaxonomies
CAA66977208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics