MEDICARE: DR. KAREN SUE KIKER D.P.M.

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
1	213E00000X	Podiatrist		CA

General Provider Information

NPI Number	:	1295953610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN SUE KIKER D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 222519
Second Line	:
City	:	CARMEL
State	:	CA
Zip	:	93922-2519
Country	:	US
Telephone Number	:	831-625-2356
Fax Number	:	831-625-3494

Provider Business Practice Location Address
First Line	:	26135 CARMEL RANCHO BLVD
Second Line	:	SUITE 22
City	:	CARMEL
State	:	CA
Zip	:	93923-8716
Country	:	US
Telephone Number	:	831-625-2356
Fax Number	:	831-625-3494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/21/2022

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