Individual
MRS. KALEY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
(843) 278-8474
Mailing address
5500 FRONT ST STE 250, SUMMERVILLE, SC 29486-8140
(850) 516-4070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5321
SC
Other
Enumeration date
11/10/2015
Last updated
07/18/2025
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