Individual provider · Type 1 NPI

Katina Lynn Vicchio, C.M.A.

Other Specialist/Technologist · Southgate, MI

NPI number 1477923795 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1477923795

Katina Lynn Vicchio, C.M.A.'s National Provider Identifier is 1477923795, issued on Sep 29, 2015. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Southgate, MI. The record was last updated on Sep 29, 2015.