Katherine Elizabeth Vaughn, RDH
Individual provider Active NPI Dental Hygienist · Overton, NE
NPI 1790989424 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790989424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 1914 (NE)
- Practice address
- 401 5TH Street
Overton, NE 68863 - Phone
- (308) 987-2431
- NPI assigned
- Jun 14, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1914 | NE | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1914 | NE | Yes |
Addresses
Primary practice location
401 5TH Street
Overton, NE 68863
Mailing address
920 Lincoln St
Overton, NE 68863-6307
Phone (308) 987-2165
Other providers in Overton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.