Basic Information
Provider Information
NPI: 1255589297
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBISON
FirstName: KENDRA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 SOUTH CASCADE AVE
Address2: SUITE 140 COLORADO SPRINGS HEALTH PARTNERS
City: COLORADO SPRINGS
State: CO
PostalCode: 80903
CountryCode: US
TelephoneNumber: 7195966883
FaxNumber: 7195911838
Practice Location
Address1: 6340 E BARNES ROAD
Address2: COLORADO SPRINGS HEALTH PARTNERS INTERNAL MEDICINE
City: COLORADO SPRINGS
State: CO
PostalCode: 80922
CountryCode: US
TelephoneNumber: 7195966883
FaxNumber: 7195911838
Other Information
ProviderEnumerationDate: 09/03/2008
LastUpdateDate: 08/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X47839COY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home