Individual provider · Type 1 NPI

Katherine R. Vickery, MD

Diagnostic Radiology Physician · Santa Rosa, CA

NPI number 1104900174 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3429

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XG57946 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104900174

Katherine R. Vickery, MD's National Provider Identifier is 1104900174, issued on Oct 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.