Individual
TYLER VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13163930101
KS
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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