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Individual

MR. VAUGHN M ESKEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2916 HOLT ST, ASHLAND, KY 41105-4069
(606) 324-7181
(606) 324-5423
Mailing address
PO BOX 4069, 2924 HOLT STREET, ASHLAND, KY 41105-4069
(606) 329-9444
(606) 324-5423

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23974
KY
208D00000X
General Practice Physician
23974
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00176940
MEDICARE RAIL ROAD PIN
KY
Enumeration date
06/09/2005
Last updated
08/13/2007
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