Individual
KAVARA SUSAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
(304) 293-8724
Mailing address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24256
WV
2084P0802X
Addiction Psychiatry Physician
24256
WV
Other
Enumeration date
03/28/2008
Last updated
01/12/2021
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