person
Keely E Vaughan, PA-C
Medical Physician Assistant in Martin, Tennessee
NPI 1780060319

Keely E Vaughan is a Medical Physician Assistant based in Martin, TN and is specialized in Medical. Keely E Vaughan practices in Martin, TN and has the professional credentials of PA-C. The NPI Number for Keely E Vaughan is 1780060319 and holds a License No. PA2812 (Tennessee).

The current practice location address for Keely E Vaughan is 117 Kennedy Dr, Martin, TN and can be reached out via phone at 731-587-9511 and via fax at 877-309-6416.

Location: 117 Kennedy Dr, Martin, TN, 38237-3309
person
Provider Profile Details
NPI Number
1780060319
Provider Name
Keely E Vaughan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
117 Kennedy Dr, Martin, TN, 38237-3309
Phone Number
731-587-9511
Fax Number
877-309-6416
Provider Enumeration Date
08/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q018026 05 TN
5440149 01 BCBS
2153951 01 CIGNA
3815442 01 AMERIGROUP
P01577761 01 RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
117 Kennedy Dr
City
State
Zip
38237-3394
Phone Number
731-587-9511
Fax Number
877-309-6416
person
Provider Business Mailing Address Details
Address
117 Kennedy Dr
City
State
Zip
38237-3394
Phone Number
731-587-9511
Fax Number
877-309-6416
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2812 (Tennessee)
Definition
Definition to come...
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