Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theron Blickenstaff, MD

Individual provider Occupational Medicine Physician · NPI 1467640375

Dr. Theron Blickenstaff, MD is an Occupational Medicine Physician in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

709 Clandon Dr
Kingsport, TN 37660-5036
Phone: (423) 378-3267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 14559 (TN)

Record details

NPI number1467640375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007

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