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NPI Code Detail

MEDICARE: GREGORY - ROBINSON VENTURES LLC

MEDICARE: GREGORY - ROBINSON VENTURES LLC
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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1851151542
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREGORY - ROBINSON VENTURES LLC
Provider Business Mailing Address
First Line : 3058 BARDSTOWN RD STE 1108
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3020
Country : US
Telephone Number : 502-354-3359
Fax Number : 502-694-1059
Provider Business Practice Location Address
First Line : 3058 BARDSTOWN RD STE 1108
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3020
Country : US
Telephone Number : 502-354-3359
Fax Number : 502-694-1059
Authorized Official
Title or Position : PHLEBOTOMIST
Name : KEITH QUITNEZ ROBINSON
Credential :
Telephone Number : 502-767-8286
Provider Enumeration Date : 03/20/2024
Last Update Date : 03/20/2024

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Directions to “GREGORY - ROBINSON VENTURES LLC ” Practice Location

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