Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack C Blackstone, Jr, MD

Individual provider Gynecology Physician · NPI 1912994583

Dr. Jack C Blackstone, Jr, MD is a Gynecology Physician in Owensboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Breckenridge St Ste 200
Owensboro, KY 42303-0839
Phone: (270) 926-3700
Fax: (270) 926-2114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 18142 (KY)

Record details

NPI number1912994583
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2005
Last updated in NPPESJuly 8, 2010

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