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Dr. Glenn Koontz Blackburn JR., MD
Pediatric Adolescent Medicine Physician in Somerset, Kentucky
NPI 1750351037

Glenn Koontz Blackburn JR. is a Pediatric Adolescent Medicine Physician based in Somerset, KY and is specialized in Adolescent Medicine. Glenn Koontz Blackburn JR. practices in Somerset, KY and has the professional credentials of MD. The NPI Number for Glenn Koontz Blackburn JR. is 1750351037 and holds a License No. 16207 (Kentucky).

The current practice location address for Glenn Koontz Blackburn JR. is Children's Clinic, Somerset, KY and can be reached out via phone at 606-678-8155 and via fax at 606-678-7548.

Location: Children's Clinic, Somerset, KY, 42503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750351037
Provider Name
Glenn Koontz Blackburn JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Children's Clinic, Somerset, KY, 42503
Phone Number
606-678-8155
Fax Number
606-678-7548
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64162076 05 KY
institution
Provider Business Practice Location Address Details
Address
Children's Clinic
City
Somerset
State
Kentucky
Zip
42503
Phone Number
606-678-8155
Fax Number
606-678-7548
person
Provider Business Mailing Address Details
Address
Children's Clinic
City
Somerset
State
Kentucky
Zip
42503
Phone Number
606-678-8155
Fax Number
606-678-7548
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
16207 (Kentucky)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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