NPI 1780060319

Keely E Vaughan, PAC

Practitioner Medical Physician Assistant Martin, TN

Practice location

Address: 117 Kennedy Dr, Martin, TN 38237-3394
Phone: (731) 587-9511
Fax: (877) 309-6416
Mailing address: 117 Kennedy Dr, Martin, TN 38237-3309

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2812 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1780060319
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2015
Record last updated: 26 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.