Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 20A17089 | CA |
NPI | 1114364148 |
---|---|
Provider Name | Kyle Steve Robinette |
First Address | Madera, CA 93636-8762 |
Second Address | Madera, CA 93636-8762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 03/06/2019 |