Kinkade, Vickrey Vaughn

Kinkade, Vickrey Vaughn is an individual health care provider with primary practice located at 1775 Browning Way Suite 104, Elko NV 89801-8348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kinkade, Vickrey Vaughn can be contacted via phone (775) 778-0386.

Contact Information

Primary practice address
1775 Browning Way Suite 104 Elko NV 89801-8348
Phone: (775) 778-0386
Fax: (775) 777-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN00364 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN19842 Nevada

Profile Details

NPI number 1639268170
LBN Legal business name Kinkade, Vickrey Vaughn
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 16th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639268170 NPPES
Nevada MEDICAID 002404011

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