Kellie Henderson, PA

NPI 1225145865 · on the registry since 2006

Practice

Address: 1508 Tombras Ave
East Ridge, TN 37412
Phone: (423) 867-4969
Fax: (423) 867-4971
Organisation at this address: Your Good Health, Llc
Advanced Practice Alliance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee