Kevin Daniel Vaughn PA-C

NPI 1194760215 - Physician Assistant - 363AM0700X

NPI Details
NPI 1194760215
Gender Male
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1440 15TH AVE NW
ABERDEEN SD, 57401-1846, US
Phone (605) 622-2640
Fax (605) 622-2647
Business Location
PO BOX 223
107 4TH ST. SE
WARNER SD, 57479-0223, US
Phone (605) 622-2640
Fax (605) 622-2647
Taxonomy Code 363AM0700X
License State South Dakota
License Number 0236
Remove 1194760215 NPI Number

According to our database, Mr. Kevin Daniel Vaughn PA-C NPI is 1194760215, taxonomy code is 363AM0700X and license number is 0236, license state is located at South Dakota. Kevin Daniel Vaughn PA-C physically located at 1440 15th Ave Nw, Aberdeen SD, 57401-1846. NPI Number Kevin Daniel Vaughn PA-C has the Individual type.

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1194760215 NPI number is provided on an as is basis without warranty of any kind. 1194760215 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Daniel Vaughn PA-C are for informational purposes only.