Kristin Blankenship, PA

NPI #1174634562 in Springfield, Illinois

Provider Information

NPI Number
1174634562
Entity Type
Individual
Name
Kristin Blankenship, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Aug 31, 2006
Last Updated
Nov 17, 2014

Practice Location

Address
747 N RUTLEDGE ST
Address 2
3RD FLOOR
ZIP Code
62702-6700
Phone
(217) 545-8000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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