Provider Demographics
NPI:1356344709
Name:VAUGHN, SHERRI S (MD)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:S
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:325 MAINE STREET
Mailing Address - Street 2:MSO LIBRARY
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044
Mailing Address - Country:US
Mailing Address - Phone:785-505-2988
Mailing Address - Fax:785-505-5228
Practice Address - Street 1:1112 W 6TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2247
Practice Address - Country:US
Practice Address - Phone:785-505-5888
Practice Address - Fax:785-505-5306
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-10-16
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Provider Licenses
StateLicense IDTaxonomies
KS0427079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1003495000CMedicaid
KSH02163Medicare UPIN
KS130756Medicare PIN