IndividualActive
Billy Vaughn, LPN
NPI 1356474167 · Licensed Practical Nurse · Warsaw, MO
Provider details
- NPI number
- 1356474167
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 042211 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
802 Kennedy Dr
Warsaw, MO 65355-3044
Phone: (660) 438-8850
Fax: (660) 438-3451
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 280
Warsaw, MO 65355-0280
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.