KELLIE HENDERSON, PA
Physician Assistant - Medical
Active
Individual
NPI: 1225145865
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA0000001098 (TN) |
Frequently Asked Questions
NPI 1225145865 is the National Provider Identifier for KELLIE HENDERSON, PA, a Physician Assistant - Medical provider located in East Ridge, TN. This NPI was enumerated on August 23, 2006.
KELLIE HENDERSON, PA practices at 1508 TOMBRAS AVE, East Ridge, TN 37412.
Quick Facts
- NPI
- 1225145865
- Type
- Individual
- Enumerated
- Aug 23, 2006
- Last Updated
- Aug 5, 2015
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