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

Kenneth Vickroy, FNP

Individual provider Family Nurse Practitioner · NPI 1285019695

Kenneth Vickroy, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

222 W Thomas Rd Ste 114
Phoenix, AZ 85013-4420
Phone: (602) 406-4578
Fax: (602) 424-5445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8000 (AZ)

Record details

NPI number1285019695
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 27, 2015
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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