Individual
DR. JOHN J VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Mailing address
1760 NICHOLASVILLE RD, SUITE 604, LEXINGTON, KY 40503-1471
(859) 255-9059
(859) 254-3112
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050370
ANTHEM BCBS
KY
05
—
64252794
—
KY
01
—
666073
ANTHEM BCBS
KY
Enumeration date
09/13/2005
Last updated
07/19/2010
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