Individual
LAURA KRISTIN CONREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5653 FRIST BLVD STE 236, HERMITAGE, TN 37076-2063
(615) 232-8812
(615) 232-8815
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1092
TN
363AM0700X
Medical Physician Assistant
Primary
1092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11724090
CAQH
TN
05
—
3663898
—
TN
Enumeration date
07/11/2006
Last updated
06/23/2026
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