Vaught, Kristin Marie

Vaught, Kristin Marie is an sole proprietor health care provider with primary practice located at 595 N Broadway St , Coal City IL 60416-1046. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Vaught, Kristin Marie can be contacted via phone (815) 634-8009.

Contact Information

Primary practice address
595 N Broadway St Coal City IL 60416-1046
Phone: (815) 634-8009
Fax: (815) 634-2008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019032292 Illinois
Dental Providers / Dentist 122300000X 019032292 Illinois

Profile Details

NPI number 1669029245
LBN Legal business name Vaught, Kristin Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2019
Last updated Aug 20th, 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.

Request for update

Popular Providers