Provider Demographics
NPI:1871799759
Name:ROBINSON, CANDACE E (CPM)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:E
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BLUE HERON WAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:KY
Mailing Address - Zip Code:40444-9556
Mailing Address - Country:US
Mailing Address - Phone:859-548-8755
Mailing Address - Fax:
Practice Address - Street 1:111 BLUE HERON WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-9556
Practice Address - Country:US
Practice Address - Phone:859-494-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife