Individual
KATHI L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3 DO IT DR, ALTAMONT, IL 62411-1135
(217) 528-7541
(618) 483-6718
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006750
IL
Other
Enumeration date
10/04/2007
Last updated
01/22/2020
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