Provider Demographics
NPI:1295953610
Name:KIKER, KAREN SUE (DPM)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:KIKER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222519
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93922-2519
Mailing Address - Country:US
Mailing Address - Phone:831-625-2356
Mailing Address - Fax:831-625-3494
Practice Address - Street 1:26135 CARMEL RANCHO BLVD
Practice Address - Street 2:SUITE 22
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8716
Practice Address - Country:US
Practice Address - Phone:831-625-2356
Practice Address - Fax:831-625-3494
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E29540Medicare UPIN