Provider Demographics
NPI:1073692232
Name:KENDRICK-ROBINSON, PATRICIA ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:KENDRICK-ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:618 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6702
Mailing Address - Country:US
Mailing Address - Phone:334-874-4843
Mailing Address - Fax:334-874-9598
Practice Address - Street 1:1107 VOEGLIN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703-4301
Practice Address - Country:US
Practice Address - Phone:334-874-4843
Practice Address - Fax:334-874-9598
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2015-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL143142080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009909225Medicaid
AL51500362OtherBCBS
AL529913320Medicaid
AL51500362OtherBCBS