Provider Demographics
NPI:1528367794
Name:STEPHENS, ROBYN KAYE
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:KAYE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 ROSCOE DYE RD
Mailing Address - Street 2:
Mailing Address - City:SCIENCE HILL
Mailing Address - State:KY
Mailing Address - Zip Code:42553-8978
Mailing Address - Country:US
Mailing Address - Phone:606-423-4521
Mailing Address - Fax:
Practice Address - Street 1:237 ROSCOE DYE RD
Practice Address - Street 2:
Practice Address - City:SCIENCE HILL
Practice Address - State:KY
Practice Address - Zip Code:42553-8978
Practice Address - Country:US
Practice Address - Phone:606-423-4521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-27
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist