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Individual

KENDRA ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, CDE

Contact information

Practice address
5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
(757) 259-3258
(757) 220-1953
Mailing address
5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
(757) 259-3258
(757) 220-1953

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
0001199696
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175532
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017144465
BOARD OF NURSING
VA
01
0024175532
BOARD OF NURSING
VA
01
21210487
CDE
VA
Enumeration date
05/05/2015
Last updated
10/31/2017
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