Blankenship, Kelly Marie

Blankenship, Kelly Marie is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Blankenship, Kelly Marie can be contacted via phone (937) 641-3401.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3401
Fax: (937) 641-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 34008912 Ohio

Profile Details

NPI number 1396934162
LBN Legal business name Blankenship, Kelly Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 7th, 2021 - about 3 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 1396934162 NPPES
Ohio MEDICAID 2854657

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