Provider Demographics
NPI:1629309224
Name:ROBERT, PSYCHE VEONA KENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:PSYCHE
Middle Name:VEONA KENDRA
Last Name:ROBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PSYCHE
Other - Middle Name:VK
Other - Last Name:ROBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:613 BANBURY CT
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8049
Mailing Address - Country:US
Mailing Address - Phone:678-414-3686
Mailing Address - Fax:
Practice Address - Street 1:45 READE PL
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:845-431-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA69703207P00000X
NY255236207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine