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

Rondal Keith Brock, PAC

Individual provider Medical Physician Assistant · NPI 1811075088

Rondal Keith Brock, PAC is a Medical Physician Assistant in Tazewell, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

Tazewell Medical Clinic 1442 North Broad St Ste 7
Tazewell, TN 37879
Phone: (423) 626-6145
Fax: (423) 526-2804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (TN)

Record details

NPI number1811075088
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

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