MEDICARE: NIKKI ROSE KARNES SLP

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	2202004081	VA

General Provider Information

NPI Number	:	1306628607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI ROSE KARNES SLP

Provider Business Mailing Address
First Line	:	7401 BEAUFONT SPRINGS DR STE 205
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-5504
Country	:	US
Telephone Number	:	804-272-0114
Fax Number	:

Provider Business Practice Location Address
First Line	:	7401 BEAUFONT SPRINGS DR STE 205
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-5504
Country	:	US
Telephone Number	:	804-272-0114
Fax Number	:

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

Provider Enumeration Date	:	10/20/2023
Last Update Date	:	10/20/2023

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Directions to “ NIKKI ROSE KARNES SLP” Practice Location

Language	Start Address	Practice Location

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