Healthcare Provider Details

I. General information

NPI: 1730017351
Provider Name (Legal Business Name): BLOUNT DERMATOLOGY SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 E WATT ST STE 247
ALCOA TN
37701-2236
US

IV. Provider business mailing address

257 N CALDERWOOD ST PMB 394
ALCOA TN
37701
US

V. Phone/Fax

Practice location:
  • Phone: 630-918-6947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN VEVERKA
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 865-351-0433