NPI 1336075753

Evan McKenzie, PAC

Practitioner Physician Assistant East Ridge, TN

Practice location

Address: 403 McBrien Rd, East Ridge, TN 37412-3223
Phone: (423) 894-3589
Mailing address: 654 Mariner Way, Chattanooga, TN 37402-2924

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7103 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1336075753
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2026
Record last updated: 23 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.