Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0101268764 | VA |
N | 208000000X | Pediatrician | 0101268764 | VA |
N | 208000000X | Pediatrician | MD14740 | RI |
N | 2080P0201X | Pediatric Allergist | MD14740 | RI |
NPI | 1114184967 |
---|---|
Provider Name | Dr. Karen Robbins |
First Address | Mc Lean, VA 22101-3621 |
Second Address | Mc Lean, VA 22101-3621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 21/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101268764 | LICENSE (01) | VA |
FR2063989 | DEA (01) |