MR. KEVIN DANIEL VAUGHN (NPI# 1194760215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194760215 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DANIEL VAUGHN |
| Credential | PA-C |
| Practice Address |
1440 15th Ave Nw Aberdeen SD 57401-1846 |
| Mailing Address |
Po Box 223 107 4th St. Se Warner SD 57479-0223 |
| Practice Telephone | 6056222640 |
| Practice Fax Number | 6056222647 |
| Mailing Telephone | 6056222640 |
| Mailing Fax Number | 6056222647 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0236 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225580269 | Kevin Anthony Vaughn | Technician | 1130 S Hanover St Ste 3, Baltimore, MD 21230-3718 | 2016-10-25 |
| 1720474943 | Kevin Lee Vaughn | Social Worker | 2620 Melbourne Ln, Lake In The Hills, IL 60156-6301 | 2015-04-14 |
| 1144729583 | Kevin Eugene Vaughn Jr. | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2018-02-12 |
| 1821445875 | Kevin Vaughn | Counselor | 1492 S Silicon Way Ste A, St George, UT 84770-7156 | 2016-05-19 |
| 1447329834 | Kevin Vaughn | Physical Therapist | 1044 Mangrove Ave, Chico, CA 95926-3509 | 2006-11-07 |
| Street Address |
1440 15TH AVE NW |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497711824 | Julie M Mayo | Pediatrics | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2006-04-25 |
| 1730342882 | Shanna Marie Ricci | Registered Nurse | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2008-07-09 |
| 1750420055 | Joann Gail Wren | Pharmacist | 1440 15th Ave Nw, Aberdeen, SD 57401 | 2007-02-05 |
| 1306881453 | Noreen J Lloyd | Nurse Practitioner | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2006-06-20 |
| 1508822073 | Juan R Chavier | Pediatrics | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013389683 | Amber Vasold | Physician Assistant | 16 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 | 2015-10-22 |
| 1679757884 | Jennifer Lee Kurman | Physician Assistant | 744 S Philadelphia Blvd Ste B, Aberdeen, MD 21001-3602 | 2007-12-24 |
| 1154396547 | Sarah Elizabeth Harr Jensen | Physician Assistant | 815 1st Ave Se Ste 104, Aberdeen, SD 57401-4602 | 2006-02-21 |
| 1508839499 | Nicholas Francis Wunder | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-02-10 |
| 1881012037 | Shaun Emory Smith | Physician Assistant | 915 Anderson Drive, Grays Harbor Community Hospital, Aberdeen, WA 98520 | 2014-04-04 |
| 1912334699 | Christopher Muldoon | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2013-09-26 |
| 1033543855 | Phyllis L. Barks | Physician Assistant | 1006 N H St Fl 4, Aberdeen, WA 98520-2521 | 2013-08-28 |
| 1205188786 | Brian Earl Goody | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2012-10-09 |
| 1174815088 | Avera St. Luke's | Physician Assistant | 615 6th Ave Se, Aberdeen, SD 57401 | 2011-05-11 |
| 1215240049 | Luciano Luis Figueroa | Physician Assistant | 191 Constantine Way, Aberdeen, WA 98520-9504 | 2010-07-21 |
| Find all providers in ABERDEEN | ||||
Please comment or provide details below to improve the information on MR. KEVIN DANIEL VAUGHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.