Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYLEE LEANN PETTIT PA
NPI 1457284838
Physician Assistant in Johnson City, TN

Q: What is Kylee Pettit's NPI number?

The NPI number for Kylee Pettit is 1457284838. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Q: What is Kylee Pettit's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kylee Pettit was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2026

2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011(423) 282-0035 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kylee Leann Pettit Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLEE LEANN PETTIT PA (NPI 1457284838) is an individual physician assistant in Johnson City, Tennessee and active in the NPI registry since June 2026. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457284838

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYLEE LEANN PETTITCredential: PA

Location Address2410 SUSANNAH STJohnson City, TN 37601-1748

Mailing Address2410 Susannah StJohnson City, TN 37601-1748 · (423) 282-9011 · Fax (423) 282-9011

Phone(423) 282-9011

Fax(423) 282-0035

Sole ProprietorNo

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1457284838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2410 SUSANNAH ST, Johnson City, TN 37601

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Secondary Practice Locations 3

Location 1340 Steeles RdBristol, TN 37620-9532 · Phone (423) 282-9011 · Fax (423) 282-0035

Location 2875 Larry Neil WayKingsport, TN 37660-6368 · Phone (423) 282-9011 · Fax (423) 282-0035

Location 31132 Erwin HwyGreeneville, TN 37745-4405 · Phone (423) 282-9011 · Fax (423) 282-0035

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD W DUNCAN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)