KENNETH ANDRE II ROBERTS (MA, RD, LDN) – Registered Dietitian, NPI 1124678578

KENNETH ANDRE II ROBERTS (MA, RD, LDN) is a healthcare provider. based in Belleville, Illinois. specializing in Registered Dietitian. They hold the professional credentials MA, RD, LDN. They hold a License No. 2019029751 (MO). The NPI Number for KENNETH ANDRE II ROBERTS (MA, RD, LDN) is 1124678578

Main info

Male
Name
KENNETH ANDRE II ROBERTS (MA, RD, LDN)
NPI
1124678578
Phone
(618) 688-2038
Address
110 MASCOUTAH AVE
Enumeration Date
18 September 2019
Last Update Date
15 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

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Provider Addresses for KENNETH ANDRE II ROBERTS (MA, RD, LDN)

  • 110, Mascoutah Avenue, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622203801

    Phone: (618) 688-2038

    Type: Mailing

  • 922A TALON DR

    O FALLON, IL 622691848

    Phone: (618) 671-6501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62220)

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Reviews

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Frequently asked questions

How is KENNETH ANDRE II ROBERTS (MA, RD, LDN) identified in CMS data?
CMS-hosted NPPES data lists KENNETH ANDRE II ROBERTS (MA, RD, LDN) with NPI 1124678578.
Does CMS list KENNETH ANDRE II ROBERTS (MA, RD, LDN) as active?
Yes — KENNETH ANDRE II ROBERTS (MA, RD, LDN) is active in the NPI listing used on this page.
What is KENNETH ANDRE II ROBERTS (MA, RD, LDN)'s specialty?
The listing groups KENNETH ANDRE II ROBERTS (MA, RD, LDN) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What address line appears for KENNETH ANDRE II ROBERTS (MA, RD, LDN)?
KENNETH ANDRE II ROBERTS (MA, RD, LDN)'s geographic hint is Belleville, Illinois in our summary view.
Why does KENNETH ANDRE II ROBERTS (MA, RD, LDN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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