Basic Information
| Provider Information | |||||||||
| NPI: | 1508155565 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PINKLEY | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | HIS, BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2616 SW CARLTON DR | ||||||||
| Address2: | |||||||||
| City: | LEES SUMMIT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640824124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163090259 | ||||||||
| FaxNumber: | 9136425806 | ||||||||
| Practice Location | |||||||||
| Address1: | 5328 W 95TH ST | ||||||||
| Address2: | |||||||||
| City: | PRAIRIE VILLAGE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662073204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136421234 | ||||||||
| FaxNumber: | 9136425806 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2011 | ||||||||
| LastUpdateDate: | 03/30/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 1465 | KS | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.