Kristin Blankenship in Springfield - Surgical
Kristin Blankenship - NPI 1174634562
Kristin Blankenship is a Surgical in Springfield, Illinois. Kristin Blankenship practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kristin Blankenship is 1174634562. The last update date is 2014-11-17.
Kristin Blankenship's current location address is Po Box 19653, Springfield, Illinois. You can contact this provider via phone number 2175458000 and fax number 2175452588. The mailing address for Kristin Blankenship is Po Box 19653, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Blankenship |
|---|---|
| Address | Po Box 19653, Springfield, Illinois |
| Phone Number | 2175458000 |
| Fax Number | 2175452588 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1174634562 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-11-17 |
Provider Mailing Address Detail
| Address | Po Box 19653 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949653 |
| Phone Number | 2175458000 |
| Fax Number | 2175452588 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 85004979 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00653958 | RAILROAD MEDICARE | ||
| 431560263 | TRICARE WEST |
Post Comment/ Review Below
What is the unique identification code assigned to Kristin Blankenship by the Centers for Medicare & Medicaid Services?
The Kristin Blankenship has been issued the NPI (National Provider Identifier) 1174634562. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kristin Blankenship is located?
The Kristin Blankenship is situated at the following address: Po Box 19653, Springfield, IL, 627949653.
What is the Kristin Blankenship's area of specialization and corresponding taxonomy classification?
The Kristin Blankenship's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1174634562 to Kristin Blankenship?
The Centers for Medicare & Medicaid Services assigned the 1174634562 to Kristin Blankenship on 2006-08-31.
When was the Kristin Blankenship's information last updated?
The Kristin Blankenship's information was last updated on 2014-11-17.