WENDELL KEITH PORTER

SEVIERVILLE, TN
NPI1487624623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence:   NCCPA:1040254)
Enumeration Date2006-01-23
Last Update Date2014-06-25
Business Address
-- WENDELL KEITH PORTER PA-C
1105 OAK CLUSTER DR
SEVIERVILLE, TN 37862-6079
Phone number: 865-908-3636
Mailing Address
-- WENDELL KEITH PORTER PA-C
1105 OAK CLUSTER DR
SEVIERVILLE, TN 37862-6079
Phone number: 865-908-3636
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