Basic Information
Provider Information
NPI: 1336812726
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENTON
FirstName: ROBYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1548 HIGH BRIDGE RD
Address2:  
City: LANCASTER
State: KY
PostalCode: 404447373
CountryCode: US
TelephoneNumber: 8593298200
FaxNumber:  
Practice Location
Address1: 135 E MAXWELL ST STE 401
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405082617
CountryCode: US
TelephoneNumber: 8593232663
FaxNumber: 8592570260
Other Information
ProviderEnumerationDate: 07/30/2021
LastUpdateDate: 06/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X301480KYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X3014810KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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