Healthcare Provider Details

I. General information

NPI: 1538758107
Provider Name (Legal Business Name): KERI ROBBINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EASTERN BYP
RICHMOND KY
40475-2751
US

IV. Provider business mailing address

801 EASTERN BYP
RICHMOND KY
40475-2751
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-3131
  • Fax:
Mailing address:
  • Phone: 859-623-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3014965
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: