Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINA VAUGHAN
ActiveRecreational Therapist Assistant · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1821508870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2017 (8.5492504266761 yrs)
- Last Updated
- May 9, 2022
Practice Information
- Address
-
16338 N IL HIGHWAY 37MOUNT VERNON, IL, 628648178Browse IL providers · Browse ZIP 62864
- Phone
- 6182421510
- Primary Specialty
-
Recreational Therapist Assistant
246YR1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.