Individual
KENNETH WILL VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 N BLUFF ST, ST GEORGE, UT 84770-3334
(435) 673-8898
Mailing address
20 N BLUFF ST, ST GEORGE, UT 84770-3334
(435) 673-8898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144916-1701
UT
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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