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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WENDELL KEITH PORTER, PA-C

Active

WENDELL KEITH PORTER, PA-C is a Medical Physician Assistant healthcare provider located in SEVIERVILLE, Tennessee. NPI 1487624623 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SEVIERVILLE, TN

Registration Details

NPI Number
1487624623
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2006 (20.565436161168 yrs)
Last Updated
Jun 25, 2014
License
NCCPA:1040254

Practice Information

Address
1105 OAK CLUSTER DR
SEVIERVILLE, TN, 378626079
Browse TN providers · Browse ZIP 37862
Phone
8659083636
Fax
8659083644
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SEVIERVILLE, TN

Name Credential NPI
NANCY LUCILLE HENSLEY PA 1427086503
HARLON ARNOLD PA-C 1366536377
MS. LAUREN KAY POLVINO PA-C, CDE 1578699005
SYDNEY THERESE BLANCHARD PA-C 1871291104
STEPHANIE FORSMAN PA-C 1689373482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.