Individual
KIMBERLY VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4251 POWHATAN AVE, NORFOLK, VA 23508-2225
(757) 683-4275
Mailing address
4251 POWHATAN AVE, NORFOLK, VA 23508-2225
(757) 683-4275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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