Kathi L Vaughn NP

NPI 1700074762 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1700074762
Gender Female
Enumeration Date 10/04/2007
Last Updated 12/09/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3 DO IT DR
ALTAMONT IL, 62411-1135, US
Phone (217) 528-7541
Fax (618) 483-6718
Business Location
1025 S 6TH ST
SPRINGFIELD IL, 62703-2403, US
Phone (217) 528-7541
Fax (217) 342-4190
Toxanomy
Taxonomy Code 363LA2200X
License State Illinois
License Number 041289767
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According to our database, Kathi L Vaughn NP NPI is 1700074762, taxonomy code is 363LA2200X and license number is 041289767, license state is located at Illinois. Kathi L Vaughn NP physically located at 3 Do It Dr, Altamont IL, 62411-1135. NPI Number Kathi L Vaughn NP has the Individual type.

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1700074762 NPI number is provided on an as is basis without warranty of any kind. 1700074762 is maintained by the National Plan & Provider Enumeration System. The contents of Kathi L Vaughn NP are for informational purposes only.