Individual
KATHRYN A VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CCC- SLP
Contact information
Practice address
1203 S MAIN ST, FAIRFIELD, IA 52556-3847
(641) 919-1628
Mailing address
1203 S MAIN ST, FAIRFIELD, IA 52556-3847
(641) 919-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
077678
IA
235Z00000X
Speech-Language Pathologist
TSLP7281
AZ
Other
Enumeration date
06/16/2011
Last updated
04/27/2018
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