Rondal Keith Brock in Cumberland Gap - Medical
Rondal Keith Brock - NPI 1811075088
Rondal Keith Brock is a Medical in Cumberland Gap, Tennessee. Rondal Keith Brock practices all healthcare services and medical treatments related to Medical. The NPI Number for Rondal Keith Brock is 1811075088. The last update date is 2007-07-08.
Rondal Keith Brock's current location address is 1037 Old Jacksoboro Road, Cumberland Gap, Tennessee. You can contact this provider via phone number 4238699980 and fax number 4235262804. The mailing address for Rondal Keith Brock is 1037 Old Jacksoboro Road, Cumberland Gap, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rondal Keith Brock |
|---|---|
| Address | 1037 Old Jacksoboro Road, Cumberland Gap, Tennessee |
| Phone Number | 4238699980 |
| Fax Number | 4235262804 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1811075088 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1037 Old Jacksoboro Road |
|---|---|
| City | Cumberland Gap |
| State | Tennessee (TN) |
| Post Code | 377244444 |
| Phone Number | 4238699980 |
| Fax Number | 4235262804 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Rondal Keith Brock by the Centers for Medicare & Medicaid Services?
The Rondal Keith Brock has been assigned the NPI (National Provider Identifier) 1811075088. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rondal Keith Brock's facilities are geographically located?
The facilities of Rondal Keith Brock are physically situated at the following location: 1037 Old Jacksoboro Road, Cumberland Gap, TN, 377244444.
What is Rondal Keith Brock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rondal Keith Brock is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When was the Rondal Keith Brock's 1811075088 issued?
The Rondal Keith Brock's 1811075088 was issued on 2006-11-02.
When was the information related to Rondal Keith Brock most recently updated or refreshed?
The details pertaining to the Rondal Keith Brock, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.