Provider Demographics
NPI:1649591645
Name:HICKEY, KARIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:
Last Name:HICKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:STERL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4123
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:100 COOK ST STE 408
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5340
Practice Address - Country:US
Practice Address - Phone:720-516-9406
Practice Address - Fax:720-516-9434
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0066229207RE0101X
MO2016017160207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid