Organization
HIGHLANDS MEDICAL PARTNERS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK BLACKWELL (MANAGING PARTNER)
(606) 886-7548
Entity
Organization
Contact information
Practice address
5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
(606) 886-7747
(606) 886-1316
Mailing address
5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
(606) 886-7747
(606) 886-1316
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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