Individual
KENDREA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1053 CENTER ST STE 100, WEST COLUMBIA, SC 29169-6749
(800) 491-0909
Mailing address
2142 EATON CIR, FLORENCE, SC 29501-6429
(843) 245-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22935
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22935
STATE BOARD LICENSE
SC
Enumeration date
06/17/2019
Last updated
01/04/2021
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