Robinson, Audrey Kelly
Robinson, Audrey Kelly is an individual health care provider with primary practice located at 21 Crossroads Dr Ste 100, Owings Mills MD 21117-5441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Robinson, Audrey Kelly can be contacted via phone (410) 356-8186.Contact Information
Primary practice address
21 Crossroads Dr Ste 100
Owings Mills MD 21117-5441
Phone: (410) 356-8186
Fax: (410) 356-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0051688 | Maryland |
Profile Details
| NPI number | 1730152828 |
|---|---|
| LBN Legal business name | Robinson, Audrey Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Dec 8th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730152828 | NPPES |
| Maryland | Other | J062 | B/C B/S |
| Maryland | MEDICAID | 404658700 | B/C B/S |
| Maryland | Other | 2849 | B/C B/S |
| Maryland | Other | KA80 | B/C B/S |
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