Provider Demographics
NPI:1518133859
Name:ROBINSON, ASHLEE ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:ALLEN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:ROBINSON
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:934 S LAUREL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-8303
Mailing Address - Country:US
Mailing Address - Phone:606-526-8604
Mailing Address - Fax:
Practice Address - Street 1:934 S LAUREL RD STE 1
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-8303
Practice Address - Country:US
Practice Address - Phone:606-526-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-01395207Q00000X
KY54517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5918820Medicaid
NCNC2800AOtherMEDICARE PTAN, INDIVIDUAL
NC1518133859Medicaid
NC232009OtherMEDICARE PTAN, GROUP
NCNC2800AOtherMEDICARE PTAN, INDIVIDUAL