Individual
ALEXANDRIA VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W MAIN ST, GRAYSON, KY 41143-1250
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
KY
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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