Individual
KEVIN J BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE, SUITE 400, MARIETTA, GA 30060-7282
(770) 952-8899
(678) 581-3680
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101237479
VA
2085R0202X
Diagnostic Radiology Physician
047419
CT
2085R0202X
Diagnostic Radiology Physician
075962
GA
390200000X
Student in an Organized Health Care Education/Training Program
0116016844
VA
Other
Enumeration date
05/02/2007
Last updated
07/12/2025
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