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Contact Information

JOSEPH A BLACKMON, MD
3101 PARISA DR
PADUCAH, KY42003-4584
 Phone: 270-444-8477
 Fax: 270-444-8479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JOSEPH A BLACKMON · (Male)

NPI Number 1003133901
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2010
Last updated 08/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 46671
  • OH License # 35.122932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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