Individual
SENECA RAE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM, L.AC.
Contact information
Practice address
501 BAXTER AVE, LOUISVILLE, KY 40204-1103
(502) 632-4061
Mailing address
1419 SAINT JAMES CT, LOUISVILLE, KY 40208-2126
(502) 475-2836
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TAC148
KY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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