Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN T VICK, CRNA
ActiveKEVIN T VICK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WEST VALLEY, Utah. NPI 1831294784 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · WEST VALLEY, UT
Registration Details
- NPI Number
- 1831294784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.903777520913 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5594772-4406 (UT)
Practice Information
- Address
-
3460 PIONEER PKWYWEST VALLEY, UT, 841202049Browse UT providers · Browse ZIP 84120
- Phone
- 8019931566
- Fax
- 8017335618
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.