Individual
MR. LEIF CORNELIUS ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 GOLDEN TIDE AVE, APT. 1, CENTRAL CITY, KY 42330-1337
(270) 977-2961
Mailing address
215 GOLDEN TIDE AVE, APT. 1, CENTRAL CITY, KY 42330-1337
(270) 977-2961
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A02405
KY
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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