Individual
DR. KERSTIN LEE ROBINETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
112 W KENOSHA ST, BROKEN ARROW, OK 74012-8901
(918) 259-1118
(918) 259-3507
Mailing address
PO BOX 1444, BROKEN ARROW, OK 74013-1444
(918) 259-1118
(918) 259-3507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
843
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100842830A
—
OK
Enumeration date
07/15/2006
Last updated
02/11/2022
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