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

Michael Blackburn, TCM

Individual provider Case Manager/Care Coordinator · NPI 1093437030

Michael Blackburn, TCM is a Case Manager/Care Coordinator in Prestonsburg, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1093437030
Entity typeIndividual (Type 1)
GenderMale
Credentials TCM
Sole proprietorYes
NPI enumeratedSeptember 15, 2022
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address104 S Front Ave, Prestonsburg, KY 41653-1614

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