Individual provider · Type 1 NPI

Kyra Emonee Vaughan

Student in an Organized Health Care Education/Training Program · Tucker, GA

NPI number 1184498982 Active

Practice location

1777 Montreal Cir
Tucker, GA 30084-6802

Call (866) 709-0772 Map

Mailing address

3220 Landgraf Close
Decatur, GA 30034-4777

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184498982

Kyra Emonee Vaughan's National Provider Identifier is 1184498982, issued on Nov 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucker, GA. The record was last updated on Nov 16, 2023.