Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RONDAL KEITH BROCK, P.A.C.
ActiveRONDAL KEITH BROCK, P.A.C. is a Medical Physician Assistant healthcare provider located in TAZEWELL, Tennessee. NPI 1811075088 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TAZEWELL, TN
Registration Details
- NPI Number
- 1811075088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.745602477656 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
TAZEWELL MEDICAL CLINIC 1442 NORTH BROAD STREETSUITE 7TAZEWELL, TN, 37879Browse TN providers · Browse ZIP 37879
- Phone
- 4236266145
- Fax
- 4235262804
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in TAZEWELL, TN
| Name | Credential | NPI |
|---|---|---|
| GEORGE THOMPSON | PA-C | 1063816395 |
| KAITLYN HOPE KINCAID | PA-C | 1770368136 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.