MEDICARE: DR. KARIN HICKEY MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	DR.0066229	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1649591645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIN HICKEY MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4123
Fax Number	:	970-490-4173

Provider Business Practice Location Address
First Line	:	100 COOK ST STE 408
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5340
Country	:	US
Telephone Number	:	720-516-9406
Fax Number	:	720-516-9434

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

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	06/23/2023

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