Individual provider · Type 1 NPI
Kimberly Ann Vickery, LMP
Specialist · Bremerton, WA
NPI number
1174779656
Active
Practice location
5060 Highway 303 NE, Suite 103
Bremerton, WA 98311
Fax (360) 377-6401
Mailing address
12710 Old Military Rd NE
Poulsbo, WA 98370-7984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00019934 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1174779656
Kimberly Ann Vickery, LMP's National Provider Identifier is 1174779656, issued on Aug 15, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bremerton, WA. The record was last updated on Oct 25, 2016.