Provider Demographics
NPI:1588701338
Name:ROBINETTE, CHARLES R (ACA, BC-HIS, BA)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:R
Last Name:ROBINETTE
Suffix:
Gender:M
Credentials:ACA, BC-HIS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 US HIGHWAY 42 STE 100
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1967
Mailing Address - Country:US
Mailing Address - Phone:859-283-5404
Mailing Address - Fax:859-283-5422
Practice Address - Street 1:7410 US HIGHWAY 42 STE 100
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1967
Practice Address - Country:US
Practice Address - Phone:859-283-5404
Practice Address - Fax:859-283-5422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY154237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist