Individual
KIM CHERRY-VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 CAMPOSTELLA RD, SUITES I AND J, CHESAPEAKE, VA 23324-3604
(757) 289-5810
Mailing address
PO BOX 13354, CHESAPEAKE, VA 23325-0354
(757) 289-5810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001223130
VA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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