Provider Demographics
NPI:1962680405
Name:ROBINSON, KATHRYN ROBERTA I (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ROBERTA
Last Name:ROBINSON
Suffix:I
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 NORTHCREST AVE
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3434
Mailing Address - Country:US
Mailing Address - Phone:716-602-9500
Mailing Address - Fax:
Practice Address - Street 1:166 NORTHCREST AVE
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3434
Practice Address - Country:US
Practice Address - Phone:716-602-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266218164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse