Provider Demographics
NPI:1487851754
Name:DICKES, KAREN ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:DICKES
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:6601 S MINNESOTA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2564
Mailing Address - Country:US
Mailing Address - Phone:605-336-6294
Mailing Address - Fax:605-336-0266
Practice Address - Street 1:415 W 3RD ST
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-4201
Practice Address - Country:US
Practice Address - Phone:605-665-9638
Practice Address - Fax:605-665-0526
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
NE822207W00000X
SD8060207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE363050195-13 OR -14Medicaid
SD6300740Medicaid
SDPTAN S105077Medicare PIN
SD6300740Medicaid