Provider Demographics
NPI:1154925766
Name:PINKINS-GARRIS, KHOSCINE
Entity type:Individual
Prefix:MRS
First Name:KHOSCINE
Middle Name:
Last Name:PINKINS-GARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 W SILVER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-1215
Mailing Address - Country:US
Mailing Address - Phone:215-680-7551
Mailing Address - Fax:
Practice Address - Street 1:2436 N 27TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3501
Practice Address - Country:US
Practice Address - Phone:215-680-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care