Blankenship, Kelly Dawn

Blankenship, Kelly Dawn is an individual health care provider with primary practice located at 1249 15Th St Suite 4093, Huntington WV 25701-3662. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Blankenship, Kelly Dawn can be contacted via phone (304) 691-8714.

Contact Information

Primary practice address
1249 15Th St Suite 4093 Huntington WV 25701-3662
Phone: (304) 691-8714
Fax: (304) 691-8591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1973 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103658 North Carolina

Profile Details

NPI number 1982717484
LBN Legal business name Blankenship, Kelly Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982717484 NPPES
Other P00247717 RAILROAD MEDICARE
MEDICAID 0251PA RAILROAD MEDICARE

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