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JENNA VAUGHT LLC NPI 1447787676


NPI Information

NPI: 1447787676
Provider Name: JENNA VAUGHT LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3407 KERRY DR
LOUISVILLE, KY
ZIP 40218
Phone: (716) 860-9958
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JENNA VAUGHT LLC is a podiatrist in Louisville, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JENNA VAUGHT LLC NPI is 1447787676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3407 KERRY DR
LOUISVILLE, KY
ZIP 40218-131
Phone: (716) 860-9958
Fax: (716) 860-9958

The provider's authorized official is Jenna Beth Vaught .
The authorized official title is Owner Of Private Practice and has the following contact phone number (502) 438-7739.

The enumeration date for this NPI number is 5/18/2017 and was last updated on 9/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700174604OTHERNPI
21447787676OTHERNPI2 DRJENNA VAUGHT LLC
37100297720MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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