Healthcare Provider Details

I. General information

NPI: 1487904850
Provider Name (Legal Business Name): ROBIN OTTO KEMPER CNA, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 PEACHTREE ST NW STE 2200
ATLANTA GA
30303-1292
US

IV. Provider business mailing address

260 PEACHTREE ST NW STE 2200
ATLANTA GA
30303-1292
US

V. Phone/Fax

Practice location:
  • Phone: 404-932-1764
  • Fax: 770-825-9261
Mailing address:
  • Phone: 404-932-1764
  • Fax: 770-825-9261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberCN0030013187
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberCN0030013187
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberCN0030013187
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberCN0030013187
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCN0030013187
License Number StateGA
# 6
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: