Kileigh Beth Vaughn
Nurse Practitioner, Pediatrics in San Antonio, TX. Individual provider (NPI-1).
NPI number1669966727
StatusActive
Last updated in NPPESOct 1, 2018
Details
- NPI
- 1669966727
- Entity type
- Individual (NPI-1)
- Name
- Kileigh Beth Vaughn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2018
- Last updated
- Oct 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | AP135765 | TX | Yes |
Other names
- Kileigh Beth Agnello (Former Name)
Practice location
7700 Floyd Curl DrSan Antonio, TX 78229-3902
Phone 210-575-4095
Mailing address
7700 Floyd Curl DrSan Antonio, TX 78229-3902
Phone 210-575-4095
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 211 Pediatric Nurse Practitioner providers in San Antonio · All 48,677 providers in San Antonio
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