Keisha Vickman

NPI #1114526530 in Green Bay, Wisconsin

Provider Information

NPI Number
1114526530
Entity Type
Individual
Name
Keisha Vickman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 19, 2020
Last Updated
Oct 19, 2020

Practice Location

Address
835 S VAN BUREN ST
ZIP Code
54301-3526
Phone
(920) 433-0111

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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