Provider Demographics
NPI:1104300409
Name:ROBINSON, KYE M (RN)
Entity type:Individual
Prefix:MRS
First Name:KYE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:16423 ELYSIAN LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3249
Mailing Address - Country:US
Mailing Address - Phone:403-754-1582
Mailing Address - Fax:301-464-3453
Practice Address - Street 1:5354 SHERIFF RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1308
Practice Address - Country:US
Practice Address - Phone:240-375-4158
Practice Address - Fax:301-773-7308
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN128985163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse