person
Kelly Dawn Blankenship, PA-C
Medical Physician Assistant in Huntington, West Virginia
NPI 1982717484

Kelly Dawn Blankenship is a Medical Physician Assistant based in Winston Salem, WV and is specialized in Medical. Kelly Dawn Blankenship practices in Huntington, WV and has the professional credentials of PA-C. The NPI Number for Kelly Dawn Blankenship is 1982717484 and holds a License No. 1973 (West Virginia).

The current practice location address for Kelly Dawn Blankenship is 1249 15Th St, Huntington, WV and can be reached out via phone at 304-691-8714 and via fax at 304-691-8591.

Location: 1249 15Th St, Huntington, WV, 27157-0001
person
Provider Profile Details
NPI Number
1982717484
Provider Name
Kelly Dawn Blankenship
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1249 15Th St, Huntington, WV, 27157-0001
Phone Number
304-691-8714
Fax Number
304-691-8591
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00247717 01 RAILROAD MEDICARE
0251PA 05 SC
institution
Provider Business Practice Location Address Details
Address
1249 15Th St
City
State
Zip
25701-3662
Phone Number
304-691-8714
Fax Number
304-691-8591
person
Provider Business Mailing Address Details
Address
1249 15Th St
City
State
Zip
25701-3662
Phone Number
304-691-8714
Fax Number
304-691-8591
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1973 (West Virginia)
Definition
Definition to come...
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