Individual
KERRY L VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
12311 PERRY HWY FL 1, WEXFORD, PA 15090
(878) 332-4174
(878) 332-4479
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4159
(878) 332-4479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018735
PA
Other
Enumeration date
04/11/2018
Last updated
10/02/2020
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