Anderson, Vicky Killen

Anderson, Vicky Killen is an individual health care provider with primary practice located at 505 Samaritans Ridge Ct , Elkin NC 28621-2457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Vicky Killen can be contacted via phone (336) 526-1181.

Contact Information

Primary practice address
505 Samaritans Ridge Ct Elkin NC 28621-2457
Phone: (336) 526-1181
Fax: (336) 526-1807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0612213 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005715 North Carolina

Profile Details

NPI number 1649525932
LBN Legal business name Anderson, Vicky Killen
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Mar 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649525932 NPPES
North Carolina Other NC8568A MEDICARE PTAN, INDIVIDUAL
North Carolina Other 2335816 MEDICARE PTAN, INDIVIDUAL

Popular Providers