National Provider Identifier

Katherine Marie Vaughn, M.S., R.D., C.D.N

Katherine Marie Vaughn, M.S., R.D., C.D.N is listed in the NPPES registry with a primary specialty of Registered Dietitian in Fairport, NY and a listed phone number of (602) 799-9823.

NPI 1841625316Fairport, NYRegistered Dietitian

Profile Overview

NPI
1841625316
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 03, 2013
Last Updated
September 03, 2013

Practice Location

  • 1000 Turk Hill RD
  • Fairport, NY 14450-8755

Phone: (602) 799-9823

Mailing Address

  • 134 Jefferson Ave
  • Fairport, NY 14450-1912

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1841625316
Entity Type
Individual
Last Name
Vaughn
First Name
Katherine
Middle Name
Marie
Name Prefix
Mrs.
Credential
M.S., R.D., C.D.N
Mailing Street Address
134 Jefferson Ave
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1912
Mailing Country
US
Mailing Phone
(716) 553-6878
Practice Street Address
1000 Turk Hill RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-8755
Practice Country
US
Practice Phone
(602) 799-9823
Enumeration Date
September 03, 2013
Last Updated
September 03, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)