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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396934162 | NPPES |
| Ohio | MEDICAID | 2854657 |
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