Male or Other

Kent R. Blocker MA

Full Name

Kent Robert Blocker MA

NPI Number

1992804405

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/21/2006

Specialties

(Taxonomies)

Code

103TC0700X
101YM0800X

Primary Taxonomy

No
No

Licenses

State

Tennessee
Tennessee

License Number

011
264

Contact
Information

Purpose

Mailing
Location

Address

ONE NORTHGATE PARK
ONE NORTHGATE PARK

City

Chattanooga
Chattanooga

State

TN
TN

Postal Code

37415
37415

Country

US
US

Telephone Number

(423) 870-5647
(423) 870-5647

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address