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NPI Code Detail

MEDICARE: KRISTEN C VAUGHN MD

MEDICARE: KRISTEN C VAUGHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program47947OK
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568138741
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN C VAUGHN MD
Provider Business Mailing Address
First Line : 3300 NW EXPRESSWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4418
Country : US
Telephone Number : 405-949-3284
Fax Number :
Provider Business Practice Location Address
First Line : 3300 NW EXPRESSWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4418
Country : US
Telephone Number : 405-949-3284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 05/31/2026

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Directions to “ KRISTEN C VAUGHN MD” Practice Location

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