Most Relevant Information
Provider Data
| NPI Number: | 1003068727 |
| Provider Name: | KIMARA VAUGHN APRN-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | AP3147 |
Most Important Dates
| Enumeration Date: | 10/13/2008 |
| Last Updated: | 03/08/2016 |
Provider Practice Location
2770 E VAN BUREN ST
PHOENIX
AZ
850086088
Practice Location Phone/Fax
| Phone: | 6022739999 |
| Fax: |
Provider Mailing Location
4045 E BELL RD
SUITE 111
PHOENIX
AZ
850322236
Provider Mailing Phone/Fax
| Phone: | 6026062658 |
| Fax: | 6024287003 |