Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 18-00257 | KS |
NPI | 1548512957 |
---|---|
Provider Name | Miss Jill Kathryn Robison |
First Address | Prairie Village, KS 66208 |
Second Address | Overland Park, KS 66204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2012 |
Last Update Date | 09/10/2012 |