Kellie Henderson, PA

Individual Active
NPI 1225145865
Medical Physician Assistant East Ridge, TN

Kellie Henderson, PA holds NPI 1225145865, with a primary taxonomy of medical physician assistant and a practice location in East Ridge, TN. The number was issued on August 23, 2006 and the NPPES record was last updated on August 5, 2015.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA0000001098 (TN)

Practice location

1508 Tombras Ave
East Ridge, TN 37412-2720
Phone: (423) 867-4969

Local context

Active NPPES records list 55 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 39 of them within 10 miles.

The same primary taxonomy is listed by 643 in Tennessee and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kellie Lawrence Henderson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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