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Individual
JAMES KEVIN VISKER
Active
Individual
JAMES KEVIN VISKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264688-3102
UT
363LA2200X
Adult Health Nurse Practitioner
264688-4405
UT
363LG0600X
Gerontology Nurse Practitioner
264688-4405
UT
363LP2300X
Primary Care Nurse Practitioner
264688-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
264688-44059
UT
Other
Enumeration date
11/19/2013
Last updated
11/14/2017
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