MEDICARE: KAREN LOVE PINKERTON M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	116525	TX
2	235Z00000X	Speech-Language Pathologist	7625	SC
3	235Z00000X	Speech-Language Pathologist	2202002826	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	194029	OTHER	VA	ANTHEM BLUE CROSS & BLUE

General Provider Information

NPI Number	:	1225155872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LOVE PINKERTON M.S.

Provider Business Mailing Address
First Line	:	1015 TAYLOR AVENUE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4640
Country	:	US
Telephone Number	:	804-402-9973
Fax Number	:	276-209-3033

Provider Business Practice Location Address
First Line	:	1015 TAYLOR AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4640
Country	:	US
Telephone Number	:	804-402-9973
Fax Number	:	276-209-3033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/18/2021

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Directions to “ KAREN LOVE PINKERTON M.S.” Practice Location

Language	Start Address	Practice Location

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