Doctor Name: | DR. THOMAS KENNY HYLAND ROBERTSON |
NPI Number: | 1912075128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | S02071 |
Business Practice Address: | 1202 Annapolis Rd Suite I, 2nd Flr Odenton, MD - 211131397 |
Business Phone Number: | 4103051331 |
Business Fax Number: | 4803935959 |
Mailing Address: | 1202 Annapolis Rd, Suite I, 2nd Flr ODENTON |
State: | MD |
Postal Code: | 211131397 |
Phone Number: | 4103051331 |
Fax Number: | 4803935959 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | S02071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |