Provider Demographics
NPI:1922654045
Name:ROBINSON, KATHY RUSH
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:RUSH
Last Name:ROBINSON
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 1:1936 PINEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-8393
Mailing Address - Country:US
Mailing Address - Phone:910-860-0022
Mailing Address - Fax:910-491-1971
Practice Address - Street 1:1936 PINEVILLE DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8393
Practice Address - Country:US
Practice Address - Phone:910-860-0022
Practice Address - Fax:910-491-1971
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider