Provider Demographics
NPI:1932712700
Name:ROBINSON, KAREN NONE
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:NONE
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 1:7986 WOOD RUSTIC DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHT
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4542
Mailing Address - Country:US
Mailing Address - Phone:937-204-8694
Mailing Address - Fax:
Practice Address - Street 1:7986 WOOD RUSTIC DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHT
Practice Address - State:OH
Practice Address - Zip Code:45424-4542
Practice Address - Country:US
Practice Address - Phone:937-204-8694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty