Provider Demographics
NPI:1790127678
Name:MCKINNEY, ROBYN DELAINE (RN)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:DELAINE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:DELAINE
Other - Last Name:WILLIS-LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1533 ARTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7407
Mailing Address - Country:US
Mailing Address - Phone:330-865-5633
Mailing Address - Fax:
Practice Address - Street 1:1533 ARTMAN AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7407
Practice Address - Country:US
Practice Address - Phone:330-865-5633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH281655163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care