Individual
DR. KEVIN SCOTT PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-8622
(931) 245-8663
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51131
TN
390200000X
Student in an Organized Health Care Education/Training Program
11014044A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014444
—
TN
Enumeration date
07/10/2008
Last updated
11/19/2021
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