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Individual
MR. GEOFFREY M BLANKENSHIP
Active
Individual
MR. GEOFFREY M BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01162
WV
363A00000X
Physician Assistant
Primary
PA972
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001807775
BLUE CROSS BLUE SHIELD
WV
05
—
0188020
—
OH
01
—
1069705
WORKERS COMPENSATION
WV
05
—
1841245750
—
WV
05
—
7100014080
—
KY
01
—
P00372230
RR MEDICARE
WV
Enumeration date
05/23/2006
Last updated
04/23/2025
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