Provider Demographics
NPI:1851858948
Name:KEATON, ROBYN LYNN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LYNN
Last Name:KEATON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:LYNN
Other - Last Name:WHITEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 RIDEGREST CIRCLE
Mailing Address - Street 2:
Mailing Address - City:FLEMINGSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41041
Mailing Address - Country:US
Mailing Address - Phone:606-209-2617
Mailing Address - Fax:
Practice Address - Street 1:389 WALLER AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2900
Practice Address - Country:US
Practice Address - Phone:238-485-9309
Practice Address - Fax:859-406-1066
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1132808363LF0000X
KY3012933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily