Individual
DR. KORY GREGGS VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 N BROAD ST, APT 101, PHILADELPHIA, PA 19130-3420
(678) 596-4621
Mailing address
640 N BROAD ST, APT 101, PHILADELPHIA, PA 19130-3420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT197942
PA
Other
Enumeration date
09/07/2012
Last updated
02/04/2013
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