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Individual

MR. KEVIN DANIEL VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0236
SD
363AM0700X
Medical Physician Assistant
0236
SD

Other

Enumeration date
06/20/2006
Last updated
12/19/2022
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