Vickers, Kendel

Vickers, Kendel is an individual health care provider with primary practice located at 950 N Avalon Way , Lecanto FL 34461-6004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vickers, Kendel can be contacted via phone (352) 746-2663.

Contact Information

Primary practice address
950 N Avalon Way Lecanto FL 34461-6004
Phone: (352) 746-2663
Fax: (352) 746-6907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109925 Florida

Profile Details

NPI number 1073062956
LBN Legal business name Vickers, Kendel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Dec 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073062956 NPPES
Florida Other PAT9109925 STATE LICENSE

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