Kenneth Dylan Vick is a Surgery in Madison, Mississippi. Kenneth Dylan Vick practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth Dylan Vick is 1336167725. The last update date is 2013-09-10.
Kenneth Dylan Vick's current location address is 301 Saint Ives Dr, Madison, Mississippi. You can contact this provider via phone number 6018538769. The mailing address for Kenneth Dylan Vick is 301 Saint Ives Dr, Madison, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dylan Vick |
|---|---|
| Address | 301 Saint Ives Dr, Madison, Mississippi |
| Phone Number | 6018538769 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336167725 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2013-09-10 |
Provider Mailing Address Detail
| Address | 301 Saint Ives Dr |
|---|---|
| City | Madison |
| State | Mississippi (MS) |
| Post Code | 391107183 |
| Phone Number | 6018538769 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 18940 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01198277 | MS | RAILROAD MEDICARE PTAN | |
| 1220266 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Dylan Vick?
The Kenneth Dylan Vick has been issued the NPI (National Provider Identifier) 1336167725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth Dylan Vick's facilities are situated?
The facilities of Kenneth Dylan Vick are physically located at the following address: 301 Saint Ives Dr, Madison, MS, 391107183.
What is Kenneth Dylan Vick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Dylan Vick's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date was the 1336167725 assigned to Kenneth Dylan Vick?
The Kenneth Dylan Vick was issued its 1336167725 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth Dylan Vick most recently updated or revised?
The details related to Kenneth Dylan Vick, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-10.
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