MEDICARE: KAREN P FIKE

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1982200242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN P FIKE

Provider Business Mailing Address
First Line	:	22200 SAILORS RIDGE RD SW
Second Line	:
City	:	RAWLINGS
State	:	MD
Zip	:	21557-1915
Country	:	US
Telephone Number	:	301-707-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	22200 SAILORS RIDGE RD SW
Second Line	:
City	:	RAWLINGS
State	:	MD
Zip	:	21557-1915
Country	:	US
Telephone Number	:	301-707-0020
Fax Number	:

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

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	12/10/2020

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Directions to “ KAREN P FIKE ” Practice Location

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