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Kevin Blankenship MD NPI 1003815515

Classification
Emergency Medicine
Type
License No.
19121
License State
WV
Certified
Location

Additional Identifiers

Medical School
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1996
Identifier
Type
State
Identifier: WV19121A
Type: OTHER (01)
State: WV
Identifier: G66392
Type: MEDICARE UPIN (02)
State:
Identifier: 0047827000
Type: MEDICAID (05)
State: WV
Identifier: 550783964002
Type: OTHER (01)
State: WV
Identifier: 0867416
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: WV

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
63 WHARF ST, MORGANTOWN, WV, 265015937
Business Phone
304-291-3627
Mailing Address
63 WHARF ST, MORGANTOWN, WV, 265015937
Mailing Phone
304-291-3627
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