Vickery, Katherine Diaz

Vickery, Katherine Diaz is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Vickery, Katherine Diaz can be contacted via phone (612) 873-6852.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-6852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301100106 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52548 Minnesota

Profile Details

NPI number 1538335146
LBN Legal business name Vickery, Katherine Diaz
Credentials MD, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2008
Last updated Jan 28th, 2014 - about 10 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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