Provider Demographics
NPI:1992897441
Name:ROBINSON, KAREN (CRNA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 822337
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-2337
Mailing Address - Country:US
Mailing Address - Phone:866-226-9156
Mailing Address - Fax:
Practice Address - Street 1:4005 DUPONT CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4801
Practice Address - Country:US
Practice Address - Phone:502-897-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1075300367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3106025Medicaid
KY74443912Medicaid
IN201002250Medicaid
000000682946OtherANTHEM BLUE CROSS BLUE SHIELD
1295716850 611077369OtherHEALTHNET
KY74443912Medicaid
1295716850 611077369OtherHEALTHNET
$$$$$$$$$00OtherBUREAU OF WORKERS COMP
000000682946OtherANTHEM BLUE CROSS BLUE SHIELD