Provider Demographics
NPI:1700675519
Name:ROBINETT, JAMES L
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:ROBINETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:L
Other - Last Name:ROBINETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4803 INDEPENDENCE AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124-2901
Mailing Address - Country:US
Mailing Address - Phone:816-492-8209
Mailing Address - Fax:
Practice Address - Street 1:4803 INDEPENDENCE AVE APT 2E
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64124-2901
Practice Address - Country:US
Practice Address - Phone:816-492-8209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty