DR. KAREN ALBERS LICKENBROCK


Address: 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900
Phone: 3145435294

DR. KAREN ALBERS LICKENBROCK (NPI# 1134440126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134440126
Entity Type Individual
Full Name DR. KAREN ALBERS LICKENBROCK
Other Name DR. KAREN MARIE ALBERS
Credential M.D.
Practice Address 2900 Lemay Ferry Rd
Saint Louis
MO 63125-3900
Practice Telephone 3145435294
Practice Fax Number 3148921658
Mailing Telephone 3145435294
Mailing Fax Number 3148921658
Enumeration Date 2010-06-14
Last Update Date 2017-03-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine R9J00 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 2900 LEMAY FERRY RD
City SAINT LOUIS
State MO
Zip Code 63125-3900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366447336 Laura Ruth Hulbert Obstetrics & Gynecology 2900 Lemay Ferry Rd, Suite 228, Saint Louis, MO 63125-3900 2005-06-16
1265892830 Ams Medical Laboratory Inc Clinical Medical Laboratory 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 2016-02-25
1083081426 Triad Labs Inc Clinical Medical Laboratory 2900 Lemay Ferry Rd, Ste 205, Saint Louis, MO 63125-3900 2015-09-01
1922482496 St. Anthony's Physician Organization Internal Medicine 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 2015-07-15
1306252457 Kimberly Manning Nurse Practitioner 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 2014-07-09
1184055386 Thyroid Specialty Laboratory Inc Clinical Medical Laboratory 2900 Lemay Ferry Rd, Suite 114, Saint Louis, MO 63125-3900 2013-12-13
1497185516 Medcomp, LLC Clinical Medical Laboratory 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 2013-11-27
1972859171 Ams Medical Laboratory Clinical Medical Laboratory 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 2012-07-25
1619238235 St. Anthony's Physician Organization Family Medicine 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3900 2012-05-30
1316258601 Paul David Hansen Internal Medicine 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 2010-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396396990 Linda Marie Monken Technician 3792 Southern Manor, St. Louis, MO 63125 2019-09-25
1194373688 Angel Angelette Rochelle Ellington Technician Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 2019-08-28
1760940209 Lea-ed Inc Community Based Residential Treatment Facility, Mental Illness 30 Sherman Road, Lemay, MO 63125 2019-03-04
1861957185 Mary M Ross Occupational Therapist Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 2019-02-01
1013400977 Anne Henry Francis Dietitian, Registered Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 2018-06-14
1922458660 Rebecca Mae Waugh Skilled Nursing Facility 1001 Holy Grail Ct, Saint Louis, MO 63125 2016-06-14
1942661814 Dsk Works LLC Chiropractor 3193 Lemay Ferry Rd., Saint Louis, MO 63125 2016-03-18
1467717678 Despine Louise Coulis Pediatrics 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 2012-07-13
1184914194 Allison Celeste Cassidy Pharmacist 3901 Lemay Ferry Road, Saint Louis, MO 63125 2011-04-11
1093049694 Lauren C Mensie Psychologist 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 2009-09-29
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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NPI Name Taxonomy Address Enumeration
1356986541 Pain Relief Center of St Louis LLC Family Medicine 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 2019-11-12
1720635329 Mercy Clinic East Communities Family Medicine 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 2019-08-20
1063066777 Isabella Citizens for Health, Inc. Family Medicine 312 Union St, Saint Louis, MI 48880-1830 2019-07-31
1043864010 Isabella Citizens for Health, Inc. Family Medicine 113 E Saginaw St, Saint Louis, MI 48880-1755 2019-07-29
1558896969 Shivani Sockanathan Family Medicine 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 2017-04-23
1598299646 Kharole Compere Family Medicine 175 N Oaks Plz, Saint Louis, MO 63121-2925 2017-04-16
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1144608035 Daniel Urcuyo Family Medicine 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 2015-05-11
1376958728 Jamil Neme Family Medicine 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 2014-06-24
1144633819 Perini Shah Family Medicine 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 2014-06-10
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Competitor

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City SAINT LOUIS
Zip Code 63125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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