DR. Glenn Koontz Blackburn, M.D. is an adolescent medicine pediatrics in Somerset, KY. The provider is 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. DR. Glenn Koontz Blackburn, M.D. NPI is 1750351037. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
CHILDREN'S CLINIC
350 LANGDON ST.
SOMERSET, KY
ZIP 42503
Phone: (606) 678-8155
Fax: (606) 678-7548
The enumeration date for this NPI number is 1/26/2006 and was last updated on 7/9/2007.