Provider Demographics
NPI:1255394532
Name:WARNER, ROBIN MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MICHELLE
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8667 US HIGHWAY 42 STE 300
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-8759
Mailing Address - Country:US
Mailing Address - Phone:859-384-2550
Mailing Address - Fax:859-384-0947
Practice Address - Street 1:8667 US HIGHWAY 42 STE 300
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-8759
Practice Address - Country:US
Practice Address - Phone:859-384-2550
Practice Address - Fax:859-384-0947
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35665208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2490004Medicaid
IN200407230Medicaid
KY64012412Medicaid
KY0364960Medicare ID - Type Unspecified
OH2490004Medicaid