Individual
KIRK L VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22882 ORCHARD LAKE RD, FARMINGTON, MI 48336-3229
(734) 748-7428
Mailing address
22882 ORCHARD LAKE RD, FARMINGTON, MI 48336-3229
(734) 748-7428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002713
MI
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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