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1255997086
KENDRA RAE POTTER
KINGSPORT, TN
NPI
1255997086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4173)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2019-05-16
Last Update Date
2021-05-04
Business Address
KENDRA RAE POTTER PA-C
4221 FORT HENRY DR STE 1
KINGSPORT, TN 37663-2227
Phone number: 423-726-2672
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Mailing Address
KENDRA RAE POTTER PA-C
4221 FORT HENRY DR STE 1
KINGSPORT, TN 37663-2227
Phone number: 423-726-2672
Copy
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