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NPI Code Detail

MEDICARE: KIRK ROBISON PA

MEDICARE:   KIRK  ROBISON  PA
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
1363A00000XPhysician Assistant085001345IL
2363A00000XPhysician AssistantPA1906KY

General Provider Information

NPI Number : 1083677538
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRK ROBISON PA
Provider Business Mailing Address
First Line : PO BOX 23229
Second Line :
City : OWENSBORO
State : KY
Zip : 42304-3229
Country : US
Telephone Number : 270-688-1330
Fax Number : 270-688-1338
Provider Business Practice Location Address
First Line : 910 WALLACE AVE
Second Line :
City : LEITCHFIELD
State : KY
Zip : 42754-2414
Country : US
Telephone Number : 270-259-9555
Fax Number : 270-259-1669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/18/2023

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Directions to “ KIRK ROBISON PA” Practice Location

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