Organization
JC BLAIR OBGYN ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH KYUNG YUN LEE M.D. (OWNER)
(814) 643-3808
Entity
Organization
Contact information
Practice address
1227 WARM SPRINGS AVE, SUITE 302, HUNTINGDON, PA 16652-2300
(814) 643-3808
(814) 643-8272
Mailing address
1227 WARM SPRINGS AVE, SUITE 302, HUNTINGDON, PA 16652-2300
(814) 643-3808
(814) 643-8272
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16540
BCBS
PA
Enumeration date
07/08/2006
Last updated
07/21/2022
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