Provider Demographics
NPI:1740210244
Name:ROBBINS, LEFFERAGE KENT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEFFERAGE
Middle Name:KENT
Last Name:ROBBINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5890 VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8669
Mailing Address - Country:US
Mailing Address - Phone:205-655-7600
Mailing Address - Fax:205-655-7446
Practice Address - Street 1:5890 VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8669
Practice Address - Country:US
Practice Address - Phone:205-655-7600
Practice Address - Fax:205-655-7446
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25584207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009936679Medicaid
AL51533456OtherBCBS
AL51533456OtherBCBS