Individual
MRS. KATHY LEIGH VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1180 SARDIS DR, BOAZ, AL 35956-2139
(256) 593-9999
(256) 593-9141
Mailing address
PO BOX 1049, BOAZ, AL 35957-2201
(256) 593-9999
(256) 593-9141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-094408
AL
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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