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Individual

VAUGHN WILLIAM KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6000
Mailing address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 861-6000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
238192
AK

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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