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Carl Kull Vaughan, BS

Case Manager/Care Coordinator in Kingsport, TN. Individual provider (NPI-1).

NPI number1700969482
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1700969482
Entity type
Individual (NPI-1)
Name
Mr. Carl Kull Vaughan
Credential
BS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 24, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1570 Waverly Rd
Kingsport, TN 37664

Phone 423-224-1300 · Fax 423-224-1375

Mailing address

Po Box 9054
Gray, TN 37615-9054

Phone 423-467-3600 · Fax 423-467-3696

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