Kenneth Vickers JR., CRNA

NPI #1023387230 in Waco, Texas

Provider Information

NPI Number
1023387230
Entity Type
Individual
Name
Kenneth Vickers JR., CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Dec 16, 2011
Last Updated
Apr 11, 2025

Practice Location

Address
100 HILLCREST MEDICAL BLVD
City
Waco
State
Texas
ZIP Code
76712-8897
Phone
(254) 230-1509

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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