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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK C BLACKSTONE, JR., M.D.

Active

DR. JACK C BLACKSTONE, JR., M.D. is a Gynecology healthcare provider located in OWENSBORO, Kentucky. NPI 1912994583 is currently active in the NPPES registry. Verify at CMS.

Gynecology · OWENSBORO, KY

Registration Details

NPI Number
1912994583
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2005 (20.688048746186 yrs)
Last Updated
Jul 8, 2010
License
18142 (KY)

Practice Information

Address
1000 BRECKENRIDGE ST
SUITE 200
OWENSBORO, KY, 423030839
Browse KY providers · Browse ZIP 42303
Phone
2709263700
Fax
2709262114
Primary Specialty
Gynecology
207VG0400X

Other Gynecology Providers in OWENSBORO, KY

Name Credential NPI
DR. CATHARINE A. SCHMITT M.D. 1629065297
DR. RICHARD C. GOOD M.D. 1710050760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.