Organization
JENNA VAUGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA BETH VAUGHT DPM (OWNER OF PRIVATE PRACTICE)
(502) 438-7739
Entity
Organization
Contact information
Practice address
801 E BRANNON RD UNIT 322, NICHOLASVILLE, KY 40356-6095
(502) 438-7739
Mailing address
PO BOX 910216, LEXINGTON, KY 40591-0216
(502) 438-7739
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447787676
NPI2 DRJENNA VAUGHT LLC
—
01
—
1700174604
NPI
—
05
—
7100297720
—
KY
Enumeration date
05/18/2017
Last updated
12/19/2024
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