Provider Demographics
NPI:1891094991
Name:PERKINS, ROBIN THEODORA (LPN-MEDS)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:THEODORA
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LPN-MEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 UNION RD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45315-9737
Mailing Address - Country:US
Mailing Address - Phone:937-836-6023
Mailing Address - Fax:
Practice Address - Street 1:6875 UNION RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315-9737
Practice Address - Country:US
Practice Address - Phone:937-836-6023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.086319-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse