Basic Information
| Provider Information | |||||||||
| NPI: | 1720380173 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PINILLOS-KUEMERLE | ||||||||
| FirstName: | KAREN | ||||||||
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| Credential: | MSW, PLCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 209 KOUFAX DR | ||||||||
| Address2: | |||||||||
| City: | PIKEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27863 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | RAF LAKENHEATH 48 MDG/SGHC | ||||||||
| Address2: | UNIT 5115 | ||||||||
| City: | APO, AE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 09461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1638528124 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2010 | ||||||||
| LastUpdateDate: | 08/03/2018 | ||||||||
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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 | 1041C0700X | P006026 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.