Most Relevant Information
Provider Data
| NPI Number: | 1003815515 |
| Provider Name: | KEVIN J BLANKENSHIP MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 19121 |
Most Important Dates
| Enumeration Date: | 07/18/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
63 WHARF ST
SUITE 100
MORGANTOWN
WV
265015937
Practice Location Phone/Fax
| Phone: | 3042913627 |
| Fax: | 3045983630 |
Provider Mailing Location
63 WHARF ST
SUITE 100
MORGANTOWN
WV
265015937
Provider Mailing Phone/Fax
| Phone: | 3042913627 |
| Fax: | 3045983630 |