Search › Oklahoma › 101Y00000X
Kimberley Cook-Vaughn, LADC #624
NPI 1699092809 · on the registry since 2010
Practice
- Address
- 2511 S Muskogee Ave
Tahlequah, OK 74464 - Phone
- (918) 431-0634
- Fax
- (918) 431-0654
- Organisation at this address
- Redefine U
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma