Provider Demographics
NPI:1891340147
Name:FLOWERS, ROBIN MICHELE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MICHELE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 FORT AVE
Mailing Address - Street 2:
Mailing Address - City:VINE GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:40175-6376
Mailing Address - Country:US
Mailing Address - Phone:270-945-2114
Mailing Address - Fax:270-828-5147
Practice Address - Street 1:1605 FORT AVE
Practice Address - Street 2:
Practice Address - City:VINE GROVE
Practice Address - State:KY
Practice Address - Zip Code:40175-6376
Practice Address - Country:US
Practice Address - Phone:270-945-2114
Practice Address - Fax:270-828-5147
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management