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Individual

MS. KIMBERLY ANN VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
PO BOX 100109, GAINESVILLE, FL 32610-0109
(352) 265-0535

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN3079612
FL
363L00000X
Nurse Practitioner
ARNP3079612
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303116100
FL
Enumeration date
08/03/2006
Last updated
04/27/2026
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