Provider Demographics
NPI:1518081645
Name:ROBINSON, KEISHA EVON (DO)
Entity Type:Individual
Prefix:DR
First Name:KEISHA
Middle Name:EVON
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1220 12TH ST SE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3722
Mailing Address - Country:US
Mailing Address - Phone:202-715-7900
Mailing Address - Fax:202-232-0723
Practice Address - Street 1:3720 MARTIN LUTHER KING JR AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1548
Practice Address - Country:US
Practice Address - Phone:202-279-1800
Practice Address - Fax:202-279-4943
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2011-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCDO034160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024905300Medicare UPIN