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BRANDON VANVICKLE
NPI 1134522444
Technician, Other in Kennett, MO

Active since September 30, 2014
1109 JONES ST, KENNETT, MO 63857(573) 559-4328 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brandon Vanvickle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON VANVICKLE (NPI 1134522444) is an individual technician, other provider in Kennett, Missouri and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1134522444
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameBRANDON VANVICKLE
Location Address1109 JONES STKennett, MO 63857-3824
Mailing Address1109 Jones StKennett, MO 63857-3824 · (573) 559-4328
Phone(573) 559-4328
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
✔ NPI 1134522444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1109 JONES ST, Kennett, MO 63857
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSI JOANN MASTERSON
Case Manager/Care Coordinator
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
KEITH LYNN CHADWELL
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
DR. PEGGY LOU MCMILLIN PH.D CSAC11
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
BRIAN BRANUM RASAC I, BS
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
TAMMIE LYNN STATLER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
HANNAH WILLIAMS
Technician, Other
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
PAM BUTTREY
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
STEVEN LEE RHINE
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Vanvickle's NPI number?

The NPI number for Brandon Vanvickle is 1134522444. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Brandon Vanvickle located?

Brandon Vanvickle practices at 1109 Jones St, Kennett, MO 63857. The listed phone number is (573) 559-4328.

What is Brandon Vanvickle's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Brandon Vanvickle was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.