Individual
KATHERINE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 451-4553
Mailing address
PO BOX 713350, CHICAGO, IL 60677-1392
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1115258
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3007873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100701460
—
KY
Enumeration date
01/22/2013
Last updated
07/14/2023
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