Individual
KARRI ELIZABETH VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4624 N SPIDER LAKE RD, TRAVERSE CITY, MI 49696-8440
(231) 947-0673
Mailing address
4373 SILVER VALLEY LN, TRAVERSE CITY, MI 49684-8796
(231) 947-0673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004084
MI
Other
Enumeration date
09/13/2005
Last updated
03/07/2025
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