Individual
VALARIE L IKERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1501 E 20TH ST, JOPLIN, MO 64804-0928
(417) 659-9395
(417) 659-9565
Mailing address
1501 E 20TH ST, JOPLIN, MO 64804-0928
(417) 659-9395
(417) 659-9565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112612
BCBS MO
MO
01
—
284033
HEALTHLINK
MO
05
—
308222207
—
MO
01
—
431842730
TRICARE WEST
MO
Enumeration date
06/26/2006
Last updated
08/09/2012
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