Individual
HEATHER KAYE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
467 MAIN ST STE 3, MADISON, WV 25130-2200
(304) 369-7876
Mailing address
701 MADISON AVE, MADISON, WV 25130-1699
(304) 369-1230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
366
WV
363AM0700X
Medical Physician Assistant
366
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366
LICENSE NUMBER
WV
Enumeration date
01/31/2007
Last updated
10/17/2023
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