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

KELLY WENTZEL, PA

Active

KELLY WENTZEL, PA is a Physician Assistant healthcare provider located in LEBANON, Tennessee. NPI 1528570892 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LEBANON, TN

Registration Details

NPI Number
1528570892
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2017 (8.7874424838759 yrs)
Last Updated
Apr 24, 2025
Licenses
327683 (NC)
3405 (TN)

Practice Information

Address
1407 W BADDOUR PKWY
LEBANON, TN, 370872513
Browse TN providers · Browse ZIP 37087
Phone
6154446203
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LEBANON, TN

Name Credential NPI
KATRINA MARIE GILL PA 1508867706
MRS. KEELY ELAINE METZGER P.A. 1063487551
MR. THOMAS HAYES HOLLAND PA-C 1952376444
MRS. JENNIFER JACOBSON GOSHOW PA-C 1891760872
MRS. HEATHER DIANA BOLTON PA 1831133727
MR. STEVEN HENRY PACK PA 1346351194
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.