Dr. Kenneth Dylan Vick, M.D.
Dr. Kenneth Dylan Vick is a Surgery Physician provider (Surgery) practicing in Jackson, MS, registered in the NPPES registry with NPI 1336167725 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336167725 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Kenneth Dylan Vick |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2500 N STATE ST, Jackson, MS, 39216 |
| Phone | 6018151800 |
| Enumeration date | 2006-07-17 |
| Last updated in NPPES | 2013-09-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 18940 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01198277 | Other | MS | RAILROAD MEDICARE PTAN |
| 01220266 | Medicaid | MS | — |
Copy-ready billing details
Provider: Kenneth Vick, M.D. NPI: 1336167725 Taxonomy: 208600000X (Surgery Physician) Address: 2500 N STATE ST, Jackson, MS, 39216
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740107523 | Sreenija Yarlagadda | Individual | Radiation Oncology Physician | Jackson, MS |
| 1528985207 | William Jones | Individual | Student in an Organized Health Care Education/Training Program | Jackson, MS |
| 1477556231 | University Ophthalmology Associates | Organization | Ophthalmology Physician | Jackson, MS |
| 1629072509 | George Russell | Individual | Orthopaedic Trauma Physician | Jackson, MS |
| 1285639955 | Lori Reed | Individual | Orthopaedic Foot and Ankle Surgery Physician | Jackson, MS |
| 1770580961 | Brian Crabtree | Individual | Psychiatric Pharmacist | Jackson, MS |
| 1033117445 | Jack Lewin | Individual | Anatomic Pathology Physician | Jackson, MS |
| 1245230887 | Robin Christian | Individual | Family Nurse Practitioner | Jackson, MS |
Verify this record
Cross-check NPI 1336167725 against the authoritative CMS record: view Dr. Kenneth Dylan Vick on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-10.