NPI 1780939108 · live from the CMS NPI Registry
Kevin Clark Blanton, Ph.D.
Psychologist in Knoxville, TN. National Provider Identifier 1780939108, active.
NPI record
| NPI | 1780939108 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 4006 Sutherland Ave, Knoxville, TN 37919 |
| Practice phone | 865-584-6111 |
| Enumerated | July 23, 2012 |
| Last updated | July 23, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | TNP1158 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.