Individual provider · Type 1 NPI

Kenneth Vickers Jr., CRNA

Certified Registered Nurse Anesthetist · Waco, TX

NPI number 1023387230 Active

Practice location

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Mailing address

PO Box 84891
Dallas, TX 75284-8491

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XAP121629 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1023387230

Kenneth Vickers Jr., CRNA's National Provider Identifier is 1023387230, issued on Dec 16, 2011. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Waco, TX. The record was last updated on Apr 11, 2025.