Provider Demographics
NPI:1831494376
Name:ROBIN DARNELL PLLC
Entity Type:Organization
Organization Name:ROBIN DARNELL PLLC
Other - Org Name:KIDCARE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LEEANNE
Authorized Official - Last Name:DARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-925-1555
Mailing Address - Street 1:4502 MACCORKLE AVE SE STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1835
Mailing Address - Country:US
Mailing Address - Phone:304-925-1555
Mailing Address - Fax:304-925-0396
Practice Address - Street 1:4502 MACCORKLE AVE SE STE B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1835
Practice Address - Country:US
Practice Address - Phone:304-925-1555
Practice Address - Fax:304-925-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty