(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003539487
Provider Name: KENDALL VAUGHAN CRNP
Entity Type: Individual
Taxonomy Code: 163WN0002X
Specialty: Registered Nurse
License Number: R223013
Most Important Dates
Enumeration Date: 09/21/2022
Last Updated: 09/21/2022
Provider Practice Location
22 S GREENE ST
BALTIMORE
MD
212011590
Practice Location Phone/Fax
Phone: 4103286716
Fax:
Provider Mailing Location
120 KINGSTON PARK LN
MIDDLE RIVER
MD
212204903
Provider Mailing Phone/Fax
Phone: 3014482858
Fax: