Individual
MRS. KAITLYN MARIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 287-2937
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R192179
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098669100
—
MD
Enumeration date
03/30/2015
Last updated
07/21/2022
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