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Individual

KERRY VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2910 N 3RD AVE # 330, PHOENIX, AZ 85013-4434
(602) 406-8811
(602) 406-8810
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-7765
(602) 294-5519

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
74514
AZ
207T00000X
Neurological Surgery Physician
74514
PA

Other

Enumeration date
06/04/2013
Last updated
09/10/2024
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