IndividualActive
Joseph Blackmon, M.D.
NPI 1003133901 · MOHS-Micrographic Surgery Physician · Paducah, KY
Provider details
- NPI number
- 1003133901
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35.122932 (OH)
Practice location
3101 Parisa Dr
Paducah, KY 42003-4584
Phone: (270) 444-8477
Fax: (270) 444-8479
Mailing address
3101 Parisa Dr
Paducah, KY 42003-4584
Registry dates
- Enumerated
- 2010-05-01
- Last updated
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.