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Individual

KEESHA D. VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7TH & CLAYTON STREET, SUITE 400, WILMINGTON, DE 19805-3165
(302) 421-9700
(302) 421-9743
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101238247
VA
208000000X
Pediatrics Physician
Primary
C10008819
DE
208D00000X
General Practice Physician
C10008819
DE
208M00000X
Hospitalist Physician
C10008819
DE

Other

Enumeration date
10/03/2006
Last updated
09/29/2008
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