Organization
VICLEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI S. HOUSE (PRESIDENT)
(859) 253-6611
Entity
Organization
Contact information
Practice address
1794 BRYAN STATION RD, LEXINGTON, KY 40505-2133
(859) 253-6611
(859) 514-3506
Mailing address
101 VENTURE CT, LEXINGTON, KY 40511-2615
(859) 253-6611
(859) 259-2346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG0305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90116344
—
KY
Enumeration date
07/10/2006
Last updated
11/02/2015
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