Individual
KELLIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
198 NARROWS DR STE 105, BIRMINGHAM, AL 35242-8663
(205) 407-4150
(833) 517-1881
Mailing address
198 NARROWS DR STE 105, BIRMINGHAM, AL 35242-8663
(205) 407-4150
(833) 517-1881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-139342
AL
Other
Enumeration date
10/11/2018
Last updated
09/06/2024
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