Individual provider · Type 1 NPI

Brandon Vanvickle

Other Technician · Kennett, MO

NPI number 1134522444 Active

Practice location

1109 Jones St
Kennett, MO 63857-3824

Call (573) 559-4328 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1134522444

Brandon Vanvickle's National Provider Identifier is 1134522444, issued on Sep 30, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Kennett, MO. The record was last updated on Sep 30, 2014.