Individual
REGINA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 523-5855
(606) 523-5596
Mailing address
60 S STEWART RD, CORBIN, KY 40701-4675
(606) 523-5855
(606) 523-5596
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
245962
KY
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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