Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Elaine Vickers I

Individual provider Methadone Clinic · NPI 1043888514

Kathleen Elaine Vickers I is a Methadone Clinic in Fitchburg, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021

Practice location Address checks out

1005 Main St
Fitchburg, MA 01420-3179
Phone: (160) 347-5519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence S90889172 (MA)

Record details

NPI number1043888514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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