Individual
DR. KAREN ALEXIS PILGRIM-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10060071
AMERIGROUP PROVIDER ID
TX
05
—
170312602
—
TX
01
—
7604028
AETNA PROVIDER NUMBER
TX
01
—
8W4320
BCBS PROVIDER ID
TX
Enumeration date
05/16/2006
Last updated
07/09/2007
Update your record
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