Douglas E Vick
Neuromusculoskeletal Medicine (NMM)
208 Crossfield Dr
Versailles
, Kentucky 40383-1468
Douglas E Vick
Neuromusculoskeletal Medicine (NMM)
208 Crossfield Dr
Versailles
, Kentucky 40383-1468
(859) 873-8045
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Douglas E Vick
- 208 Crossfield Dr
- Versailles, KY
- Zip : 40383-1468
- Fax : (859) 873-8045
- Phone : (859) 873-8044
Second Address
- Douglas E Vick
- 208 Crossfield Dr
- Versailles, KY
- Zip : 40383-1468
- Fax : (859) 873-8045
- Phone : (859) 873-8044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 02382 | KY |
National Provider Identifier
| NPI | 1326261892 |
|---|---|
| Provider Name | Douglas E Vick |
| First Address | Versailles, KY 40383-1468 |
| Second Address | Versailles, KY 40383-1468 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 05/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A67747 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.