Healthcare Provider Details

I. General information

NPI: 1891087441
Provider Name (Legal Business Name): DONNA C. ROBINSON, APRN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 KINGS HWY
LOUISVILLE KY
40205-2649
US

IV. Provider business mailing address

2646 KINGS HWY
LOUISVILLE KY
40205-2649
US

V. Phone/Fax

Practice location:
  • Phone: 502-498-6278
  • Fax:
Mailing address:
  • Phone: 502-498-6278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number3004727
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3004727
License Number StateKY

VIII. Authorized Official

Name: DONNA C ROBINSON
Title or Position: APRN
Credential:
Phone: 502-498-6278