Lewis, Vickie Karon

Lewis, Vickie Karon is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 3E, Bristol TN 37620-7430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Vickie Karon can be contacted via phone (423) 844-5853.

Contact Information

Primary practice address
1 Medical Park Blvd Suite 3E Bristol TN 37620-7430
Phone: (423) 844-5853
Fax: (423) 844-5588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5571 Tennessee

Profile Details

NPI number 1699768564
LBN Legal business name Lewis, Vickie Karon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 10th, 2012 - about 12 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 1699768564 NPPES
Tennessee MEDICAID 3345430

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