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Individual

THOMAS VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4231
Mailing address
222 S 1ST ST, SUITE 501, LOUISVILLE, KY 40202-5404
(502) 583-2731
(502) 583-2733

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34424
KY
2085R0202X
Diagnostic Radiology Physician
60021
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000229246
ANTHEM BLUE FACET
KY
05
1158855
KY
05
200171220
IN
05
20048337
PA
05
2570981
OH
05
64344245
KY
05
909773200
FL
05
XPY200539
CA
Enumeration date
05/08/2006
Last updated
08/26/2025
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