Provider Demographics
NPI:1225155872
Name:PINKERTON, KAREN LOVE (MS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LOVE
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LOVE
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1015 TAYLOR AVENUE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4640
Mailing Address - Country:US
Mailing Address - Phone:804-402-9973
Mailing Address - Fax:276-209-3033
Practice Address - Street 1:1015 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4640
Practice Address - Country:US
Practice Address - Phone:804-402-9973
Practice Address - Fax:276-209-3033
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116525235Z00000X
SC7625235Z00000X
VA2202002826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA194029OtherANTHEM BLUE CROSS & BLUE
VA3749579OtherAETNA
VA244589OtherSOUTHERN HEALTH