Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Lawrence Henderson, PA

Individual provider Medical Physician Assistant · NPI 1225145865

Kellie Lawrence Henderson, PA is a Medical Physician Assistant in East Ridge, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1508 Tombras Ave
East Ridge, TN 37412-2720
Phone: (423) 867-4969
Fax: (423) 867-4971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA0000001098 (TN)

Record details

NPI number1225145865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESAugust 5, 2015

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