Individual
KRISTIN VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502-2824
(757) 466-8683
(757) 466-8892
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110008319
VA
Other
Enumeration date
06/05/2021
Last updated
02/08/2022
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