Kyle Vaughn

NPI #1073069688 in Nome, Alaska

Provider Information

NPI Number: 1073069688
Entity Type: Individual
Name: Kyle Vaughn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1000 GREG KRUSCHEK AVENUE
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (907) 443-3421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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