Individual
MR. BILLY J VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
802 KENNEDY DR, WARSAW, MO 65355-3044
(660) 438-8850
(660) 438-3451
Mailing address
PO BOX 280, WARSAW, MO 65355-0280
(660) 438-8850
(660) 438-3451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
042211
MO
Other
Enumeration date
03/13/2007
Last updated
07/09/2007
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