GLENN KOONTZ BLACKBURN

SOMERSET, KY
NPI1750351037
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2080A0000X Pediatrics Adolescent Medicine
(Licence: KY  16207)
Enumeration Date2006-01-26
Last Update Date2007-07-09
Business Address
DR. GLENN KOONTZ BLACKBURN M.D.
CHILDREN'S CLINIC 350 LANGDON ST.
SOMERSET, KY 42503
Phone number: 606-678-8155
Mailing Address
DR. GLENN KOONTZ BLACKBURN M.D.
CHILDREN'S CLINIC 350 LANGDON ST.
SOMERSET, KY 42503
Phone number: 606-678-8155
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