Kirk L Vickers

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002713 Issued in MI

Practice address

22882 Orchard Lake Rd
Farmington, MI 48336-3229

Phone

(734) 748-7428

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1093457319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22882 ORCHARD LAKE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363229",
            "telephone_number": "734-748-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22882 ORCHARD LAKE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363229",
            "telephone_number": "734-748-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "KIRK",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice V Urbiel, LMSW ACSW BCD
• Zarinah Vance
• Daniel Joseph Vargovick, O.D.
• Vertex Labs LLC
• Vesalius Medical Center
• Ronald Wayne Vincent, DNP, NP-C
• Timothy Le Vu, DDS
• Bryan N Wang, PHARMD
• Janice Watkeys, A.T.,C., C.M.T.
• Elaine Deborah Webber, PPCNP-BC

• Athletic Trainer in Farmington, MI
• Providers in Farmington, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.