Individual
MALLORY LANE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 780-2680
Mailing address
3579 FIELDCREST DR, BOWLING GREEN, KY 42104-0208
(270) 991-0571
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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