| Vicktree Inc | |
|
4108 Blue Hollow Dr Columbia MO 65203-7256 | |
| (216) 299-2522 | |
| Not Available |
| Full Name | Vicktree Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4108 Blue Hollow Dr, Columbia, Missouri |
| Authorized Official Name and Position | Gaurav Kulkarni (CEO) |
| Authorized Official Contact | 5132190858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicktree Inc 500 Market St Fulton MO 65251-2808 Ph: (573) 219-0858 | Vicktree Inc 4108 Blue Hollow Dr Columbia MO 65203-7256 Ph: (216) 299-2522 |
| NPI Number | 1265346670 |
|---|---|
| Provider Enumeration Date | 10/01/2026 |
| Last Update Date | 10/01/2026 |
| Certification Date | 10/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265346670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
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