Individual
DR. VICKIE LYNN KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1955 US HIGHWAY 1 S, SUITE 100, ST AUGUSTINE, FL 32086-3708
(904) 825-5055
Mailing address
117 SAINT ANDREWS PLACE DR, ST AUGUSTINE, FL 32092-0774
(904) 940-0096
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN11100
FL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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