Individual
KALU JANE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, CDEM
Contact information
Practice address
412 S MAPLE ST, FORTVILLE, IN 46040-1679
(317) 340-3583
Mailing address
412 S MAPLE ST, FORTVILLE, IN 46040-1679
(317) 340-3583
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
90000023A
IN
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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