KENDEL VICKERS

LECANTO, FL
NPI1073062956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109925)
Enumeration Date2016-10-03
Last Update Date2016-12-02
Business Address
-- KENDEL VICKERS PA-C
950 N AVALON WAY
LECANTO, FL 34461-6004
Phone number: 352-746-2663
Mailing Address
-- KENDEL VICKERS PA-C
PO BOX 1990
CRYSTAL RIVER, FL 34423-1990
Phone number: 352-746-4176
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