Provider Demographics
NPI:1609257476
Name:MORAN, ROBYN L (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:L
Last Name:MORAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5701 W 119TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3749
Mailing Address - Country:US
Mailing Address - Phone:913-661-9980
Mailing Address - Fax:913-661-9173
Practice Address - Street 1:5701 W 119TH ST STE 209
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3749
Practice Address - Country:US
Practice Address - Phone:913-661-9980
Practice Address - Fax:913-661-9173
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-43135207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology