Individual
KATEY GIBSON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3811 NELSON SCHOOL RD, MORRISTOWN, TN 37813-4429
(423) 300-0568
Mailing address
6890 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8610
(423) 839-2120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6216
TN
Other
Enumeration date
10/05/2024
Last updated
04/15/2025
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