Provider Demographics
NPI:1194770339
Name:VAUGHT, BARRY K (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:K
Last Name:VAUGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1619 STANAFORD RD STE 218
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-8624
Mailing Address - Country:US
Mailing Address - Phone:304-252-4222
Mailing Address - Fax:866-554-1903
Practice Address - Street 1:1404 ROBERT C BYRD DR STE 100
Practice Address - Street 2:
Practice Address - City:CRAB ORCHARD
Practice Address - State:WV
Practice Address - Zip Code:25827-9470
Practice Address - Country:US
Practice Address - Phone:304-252-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV221162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology