Individual
MRS. KIMBERLY ANN VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5060 HIGHWAY 303 NE, SUITE 103, BREMERTON, WA 98311
(360) 377-6335
(360) 377-6401
Mailing address
12710 OLD MILITARY RD NE, POULSBO, WA 98370-7984
(360) 440-5471
(360) 377-6401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019934
WA
Other
Enumeration date
08/15/2008
Last updated
10/25/2016
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