Individual
MRS. CHERYL ANN VICHKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CWON, CFCN
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4874
(907) 714-4992
Mailing address
407 HIGHBUSH LN, KENAI, AK 99611-8926
(907) 283-3283
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
20441
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20441
AK LICENSE
AK
Enumeration date
05/04/2010
Last updated
06/28/2010
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