Doctor Name: | MRS. KIMBERLY ROBIN VLCEK |
NPI Number: | 1992087001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5370-00-4138 |
Business Practice Address: | 430 N Lindberg St Griffith, IN - 463192120 |
Business Phone Number: | 2195955384 |
Business Fax Number: | |
Mailing Address: | 430 N Lindberg St, GRIFFITH |
State: | IN |
Postal Code: | 463192120 |
Phone Number: | 2195955384 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5370-00-4138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |