Individual
VICKI KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
129 MAIN ST, SUITE 203, BECKLEY, WV 25801-4615
(304) 894-2251
Mailing address
PO BOX 895, SOPHIA, WV 25921-0895
(304) 894-2251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001-0639
WV
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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