NPI | 1346371853 |
---|---|
Professional Name | KOLBY VAUGHAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002758) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001891) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2014-02-26 |