Individual ProviderZachary KegleyFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2033 Meadowview Ln Ste 300, Kingsport, TN 37660-7433(423) 857-2260PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Kegley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:51 AM.Profile DetailsProvider ID1063153971Provider TypeIndividualFull NameKegley, ZacharyCredentialDOGenderMaleSole ProprietorNoEnumeration Date4/5/2022Last Updated8/11/2025Contact InformationPractice LocationPractice Address2033 Meadowview Ln Ste 300, Kingsport, TN 37660-7433Phone(423) 857-2260Fax(423) 857-2261Mailing LocationMailing AddressPO Box 9, Kingsport, TN 37662-0009Phone(423) 857-2260Fax(423) 857-2261Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseDO5972TennesseeCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer