Individual
KELLY ANN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 S 8TH ST, CLINTON, MO 64735-2901
(660) 885-2237
Mailing address
1002 LINCOLN ST, PLEASANT HILL, MO 64080-1193
(417) 454-9180
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2012024479
MO
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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