Individual provider · Type 1 NPI

Kendra Rae Potter, PA-C

Physician Assistant · Kingsport, TN

NPI number 1255997086 Active

Practice location

4221 Fort Henry Dr Ste 1
Kingsport, TN 37663-2227

Fax (423) 406-1399

Other practice locations

  • 1490 Park Ave NW Ste 4A, Norton, VA 24273-1631 · (276) 439-1385

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X0110008946 (VA)
Medical Physician Assistant 363AM0700X4173 (TN)
Physician Assistant Primary 363A00000X4173 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255997086

Kendra Rae Potter, PA-C's National Provider Identifier is 1255997086, issued on May 16, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingsport, TN. The record was last updated on Jul 31, 2025.