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Individual

DR. KRISTINA DENISE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21722
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08952552
MS
Enumeration date
08/21/2008
Last updated
03/27/2012
Update your record

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