MEDICARE: KARA PERKINS

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	2202009965

General Provider Information

NPI Number	:	1922840719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA PERKINS

Provider Business Mailing Address
First Line	:	1603 HIGH ST
Second Line	:
City	:	FARMVILLE
State	:	VA
Zip	:	23901-1141
Country	:	US
Telephone Number	:	336-596-3217
Fax Number	:

Provider Business Practice Location Address
First Line	:	15595 W JAMES ANDERSON HWY
Second Line	:
City	:	BUCKINGHAM
State	:	VA
Zip	:	23921-3118
Country	:	US
Telephone Number	:	434-969-6100
Fax Number	:

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

Provider Enumeration Date	:	06/11/2024
Last Update Date	:	06/11/2024

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Directions to “ KARA PERKINS ” Practice Location

Language	Start Address	Practice Location

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