Vaughn, Kevin Anthony

Vaughn, Kevin Anthony is an sole proprietor health care provider with primary practice located at 1130 S Hanover St Ste 3 , Baltimore MD 21230-3718. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Vaughn, Kevin Anthony can be contacted via phone (410) 387-6576.

Contact Information

Primary practice address
1130 S Hanover St Ste 3 Baltimore MD 21230-3718
Phone: (410) 387-6576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1225580269
LBN Legal business name Vaughn, Kevin Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2016
Last updated Aug 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225580269 NPPES
Maryland MEDICAID 1225580269

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