Healthcare Provider Details

I. General information

NPI: 1649698424
Provider Name (Legal Business Name): KAREN ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 E WOOD ST
SPARTANBURG SC
29303-3016
US

IV. Provider business mailing address

151 E WOOD ST PO BOX 4217
SPARTANBURG SC
29303-3016
US

V. Phone/Fax

Practice location:
  • Phone: 864-596-2227
  • Fax: 864-596-2887
Mailing address:
  • Phone: 864-596-2227
  • Fax: 864-596-2887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number41919
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: