Individual
MARY TAMARIN VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Mailing address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02383
KY
Other
Enumeration date
04/17/2007
Last updated
03/17/2008
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