Amy Vaughn

Individual provider Active NPI Registered Dietitian · Murray, KY

NPI 1649540949 · NPPES record last updated Jan 4, 2012

Key facts

NPI
1649540949
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
803 Poplar St
Murray, KY 42071-2432
Phone
(270) 762-1100
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X KY Yes

Addresses

Primary practice location

803 Poplar St
Murray, KY 42071-2432

Mailing address

521 Sullivan Rd
Mayfield, KY 42066-6673

Other providers in Murray, KY

All providers in Murray, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.