Individual provider · Type 1 NPI

Kenneth Vickroy, FNP

Family Nurse Practitioner · Phoenix, AZ

NPI number 1285019695 Active

Practice location

222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420

Fax (602) 424-5445

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP8000 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1285019695

Kenneth Vickroy, FNP's National Provider Identifier is 1285019695, issued on Jul 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 4, 2026.