Blankenship, Khrystal

Blankenship, Khrystal is an sole proprietor health care provider with primary practice located at 314 S Broadway Ave Suite 106, Ada OK 74820-5828. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Blankenship, Khrystal can be contacted via phone (580) 235-0210.

Contact Information

Primary practice address
314 S Broadway Ave Suite 106 Ada OK 74820-5828
Phone: (580) 235-0210
Fax: (580) 235-0211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X N/A Oklahoma

Profile Details

NPI number 1194041525
LBN Legal business name Blankenship, Khrystal
Credentials B.H.R.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2010
Last updated Apr 9th, 2010 - about 14 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 1194041525 NPPES
Oklahoma MEDICAID 100746700C

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