Individual
STEPHEN LEE ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6775
TN
363AS0400X
Surgical Physician Assistant
6775
TN
Other
Enumeration date
09/09/2025
Last updated
12/01/2025
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