Dr. Joseph Allen Blackmon
MOHS-Micrographic Surgeon
3101 Parisa Dr
Paducah
, Kentucky 42003-4584
Dr. Joseph Allen Blackmon
MOHS-Micrographic Surgeon
3101 Parisa Dr
Paducah
, Kentucky 42003-4584
(270) 444-8479
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Joseph Allen Blackmon
- 3101 Parisa Dr
- Paducah, KY
- Zip : 42003-4584
- Fax : (270) 444-8479
- Phone : (270) 444-8477
Second Address
- Dr. Joseph Allen Blackmon
- 3101 Parisa Dr
- Paducah, KY
- Zip : 42003-4584
- Fax : (270) 444-8479
- Phone : (270) 444-8477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0101X | MOHS-Micrographic Surgeon | 35.122932 | OH |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 46671 | KY |
National Provider Identifier
| NPI | 1003133901 |
|---|---|
| Provider Name | Dr. Joseph Allen Blackmon |
| First Address | Paducah, KY 42003-4584 |
| Second Address | Paducah, KY 42003-4584 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2010 |
| Last Update Date | 31/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.