Healthcare Provider Details

I. General information

NPI: 1598467151
Provider Name (Legal Business Name): JOSHUA GEORGE ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8804 RENNER BLVD STE 200
LENEXA KS
66219-3211
US

IV. Provider business mailing address

712 MAGNESS DR
SPARTANBURG SC
29303-2146
US

V. Phone/Fax

Practice location:
  • Phone: 913-676-2660
  • Fax: 913-676-2661
Mailing address:
  • Phone: 816-799-3254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-53673
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: