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NPI Code Detail

MEDICARE: KAROL HICKS KERR M.D.

MEDICARE: KAROL HICKS KERR M.D.
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
12080P0207XPediatric Hematology & Oncology Physician252082NY
22080P0207XPediatric Hematology & Oncology Physician0056973CO

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 : 1447256623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAROL HICKS KERR M.D.
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line : DOMESTIC BUSINESS MAILING ADDRESS
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number : 303-493-7000
Fax Number :
Provider Business Practice Location Address
First Line : 4125 BRIARGATE PKWY
Second Line : SUITE 200
City : COLORADO SPRINGS
State : CO
Zip : 80920-7804
Country : US
Telephone Number : 719-305-9025
Fax Number : 719-305-9026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/30/2016

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