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NPI Code Detail

MEDICARE: KIMBERLY ROBINSON

MEDICARE: KIMBERLY ROBINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033458914
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ROBINSON
Provider Business Mailing Address
First Line : 2600 S EL CAMINO REAL STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2382
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 S EL CAMINO REAL STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2382
Country : US
Telephone Number : 650-578-8691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2013
Last Update Date : 02/12/2013

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Directions to “ KIMBERLY ROBINSON ” Practice Location

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