Individual
KEVIN ALTON VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD STE 120, FORT WAYNE, IN 46804-4159
(260) 969-7137
(260) 435-7672
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01092890A
IN
Other
Enumeration date
05/06/2006
Last updated
08/14/2024
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