Kevin J Blankenship
Emergency Physician
63 Wharf St Suite 100
Morgantown
, West Virginia 26501-5937
Kevin J Blankenship
Emergency Physician
63 Wharf St Suite 100
Morgantown
, West Virginia 26501-5937
(304) 598-3630
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kevin J Blankenship
- 63 Wharf St Suite 100
- Morgantown, WV
- Zip : 26501-5937
- Fax : (304) 598-3630
- Phone : (304) 291-3627
Second Address
- Kevin J Blankenship
- 63 Wharf St Suite 100
- Morgantown, WV
- Zip : 26501-5937
- Fax : (304) 598-3630
- Phone : (304) 291-3627
Reviews
FAQs
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Is Kevin J Blankenship a sole practitioner?
Is Kevin J Blankenship accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 19121 | WV |
National Provider Identifier
| NPI | 1003815515 |
|---|---|
| Provider Name | Kevin J Blankenship |
| First Address | Morgantown, WV 26501-5937 |
| Second Address | Morgantown, WV 26501-5937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0047827000 | (05) | WV |
| 550783964002 | MT STATE BCBS (01) | WV |
| G66392 | (02) | |
| WV19121A | HEALTH PLAN (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.