Individual
MRS. KELLIE BETH VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
3155 ROBERT C BYRD DR, BECKLEY, WV 25801-3726
(304) 252-4222
(304) 252-3616
Mailing address
PO BOX 710750, COLUMBUS, OH 43271-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
52687
WV
Other
Enumeration date
05/24/2006
Last updated
10/04/2007
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