Individual
RACHEL E KEYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1318
TN
363AM0700X
Medical Physician Assistant
Primary
1318
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3664182
—
TN
01
—
4117865
BCBS OF TENNESSEE
TN
05
—
588781352A
—
GA
05
—
588781352B
—
GA
01
—
P00329326
RAILROAD MEDICARE
TN
Enumeration date
06/30/2006
Last updated
02/19/2025
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