Individual
KAYLEE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403
(423) 778-5179
(423) 778-2108
Mailing address
511 SHADOW PKWY, CHATTANOOGA, TN 37421-5334
(865) 719-5814
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3734
TENNESSEE MEDICAL LICENSE
TN
Enumeration date
09/25/2018
Last updated
01/17/2019
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