Blankenship, Kevin J

Blankenship, Kevin J is an individual health care provider with primary practice located at 63 Wharf St Suite 100, Morgantown WV 26501-5937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blankenship, Kevin J can be contacted via phone (304) 291-3627.

Contact Information

Primary practice address
63 Wharf St Suite 100 Morgantown WV 26501-5937
Phone: (304) 291-3627
Fax: (304) 598-3630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19121 West Virginia

Profile Details

NPI number 1003815515
LBN Legal business name Blankenship, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1003815515 NPPES
West Virginia MEDICAID 0047827000
West Virginia Other WV19121A
West Virginia Other 550783964002

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