| Doctor Name: | KEITH A VAUGHN |
| NPI Number: | 1871610618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 0105006341 |
| Business Practice Address: | 401 Scenic Dr Rogersville, TN - 378572452 |
| Business Phone Number: | 4239217224 |
| Business Fax Number: | 4239217227 |
| Mailing Address: | 161 Coralwood Dr, KINGSPORT |
| State: | TN |
| Postal Code: | 376632709 |
| Phone Number: | 4232394366 |
| Fax Number: | 4232245776 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 03/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0105006341 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |