IndividualActive
Theron Blickenstaff, M.D.
NPI 1467640375 · Occupational Medicine Physician · Kingsport, TN
Provider details
- NPI number
- 1467640375
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14559 (TN)
Mailing address
709 Clandon Dr
Kingsport, TN 37660-5036
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2007-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.