Provider Demographics
NPI:1700131166
Name:ROBINSON, KURT MATTHEW (RPH)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:MATTHEW
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 TURTLE BAY CIR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7564
Mailing Address - Country:US
Mailing Address - Phone:330-699-1214
Mailing Address - Fax:
Practice Address - Street 1:3147 TURTLE BAY CIR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7564
Practice Address - Country:US
Practice Address - Phone:330-699-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03319906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist