Individual
STEWART VICKREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
225 HOSPITAL DR, WINCHESTER, KY 40391-7676
(859) 737-6494
(859) 737-6642
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3008775
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3008775
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100352370
—
KY
Enumeration date
09/29/2014
Last updated
11/03/2021
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