KELLY DAWN BLANKENSHIP PA-C NPI 1982717484

NPI Information

NPI: 1982717484
Provider Name: KELLY DAWN BLANKENSHIP, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WAKE FOREST UNIVERSITY HEALTH SCIENCES

PECOS Registration: Yes

Address:
1249 15TH ST
SUITE 4093
HUNTINGTON, WV
ZIP 25701
Phone: (304) 691-8714
Get Directions

Kelly Dawn Blankenship, PA-C is a medical physician assistant in Huntington, WV with 24 years of experience. Kelly Dawn Blankenship, PA-C NPI is 1982717484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1249 15TH ST
SUITE 4093
HUNTINGTON, WV
ZIP 25701-662
Phone: (304) 691-8714
Fax: (304) 691-8591

The NPI 1982717484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	103658	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	1973	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0251PA	MEDICAID	SOUTH CAROLINA
2	P00247717	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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