NPI 1134522444

Brandon Vanvickle

Practitioner Other Technician Kennett, MO

Practice location

Address: 1109 Jones St, Kennett, MO 63857-3824
Phone: (573) 559-4328

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1134522444
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2014
Record last updated: 30 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.