Healthcare Provider Details

I. General information

NPI: 1922498096
Provider Name (Legal Business Name): KARI LYNN ROBINSON IDMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 10/06/2024
Certification Date: 10/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 626 UNIT 5267
APO DC
96368-3702
US

IV. Provider business mailing address

UNIT 5142
APO AP
96368-5142
US

V. Phone/Fax

Practice location:
  • Phone: 315-630-1009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1003X
TaxonomyIndependent Duty Medical Technicians
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: