Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 2159P | KY |
NPI | 1063490779 |
---|---|
Provider Name | Mrs. Kathleen W Robbins |
First Address | Louisville, KY 40291-4903 |
Second Address | Fort Knox, KY 40121-5111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 08/07/2007 |