Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Mountain Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1023538758

Blue Mountain Medical Clinic, PLLC provides Family Medicine Physician services in Middlesboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1814 Cumberland Ave
Middlesboro, KY 40965
Phone: (606) 242-2519
Fax: (606) 242-2520
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (KY)

Record details

NPI number1023538758
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife & Health Services
Authorized official Tina Poore — Office Manager · (606) 242-2519
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 26, 2018
Mailing address1814 Cumberland Ave, Middlesboro, KY 40965-1229

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