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NPI Code Detail

MEDICARE: KALEIGH NICOLE ROBINSON

MEDICARE: KALEIGH NICOLE ROBINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487481107
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH NICOLE ROBINSON
Provider Business Mailing Address
First Line : 198 LAUREL CROSSING DR
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WHEAT ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-4347
Country : US
Telephone Number : 803-305-2286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 09/17/2024

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Directions to “ KALEIGH NICOLE ROBINSON ” Practice Location

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