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NPI Code Detail

MEDICARE: DR. KAREN ELIZABETH DICKES D.O.

MEDICARE: DR. KAREN ELIZABETH DICKES D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician822NE
2207W00000XOphthalmology Physician8060SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487851754
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN ELIZABETH DICKES D.O.
Provider Business Mailing Address
First Line : 6601 S MINNESOTA AVE STE 200
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2564
Country : US
Telephone Number : 605-336-6294
Fax Number : 605-336-0266
Provider Business Practice Location Address
First Line : 415 W 3RD ST
Second Line :
City : YANKTON
State : SD
Zip : 57078-4201
Country : US
Telephone Number : 605-665-9638
Fax Number : 605-665-0526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 01/03/2023

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