KENNETH VICKERS

WACO, TX
NPI1023387230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  703452)
Enumeration Date2011-12-16
Last Update Date2011-12-16
Business Address
KENNETH VICKERS CRNA
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-230-1509
Mailing Address
KENNETH VICKERS CRNA
100 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-230-1509
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