Individual
KELLY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SMITH SPRINGS CT, NASHVILLE, TN 37217-3400
(615) 715-1572
Mailing address
104 SMITH SPRINGS CT, NASHVILLE, TN 37217-3400
(615) 715-1572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199163
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
31191
TN
Other
Enumeration date
08/20/2021
Last updated
03/24/2022
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