| Doctor Name: | KATHI L VAUGHN |
| NPI Number: | 1700074762 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 209006750 |
| Business Practice Address: | 3 Do It Dr Altamont, IL - 624111135 |
| Business Phone Number: | 2175287541 |
| Business Fax Number: | 6184836718 |
| Mailing Address: | 1025 S 6th St, SPRINGFIELD |
| State: | IL |
| Postal Code: | 627032403 |
| Phone Number: | 2175287541 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2007 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209006750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |