Individual
MRS. KELSEY VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5725 W VINCA LN, ELLETTSVILLE, IN 47429-9568
(812) 361-2551
Mailing address
PO BOX 803, BLOOMINGTON, IN 47402-0803
(812) 361-2551
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28210388A
IN
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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