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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982717484 | NPPES |
| Other | P00247717 | RAILROAD MEDICARE | |
| MEDICAID | 0251PA | RAILROAD MEDICARE |
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