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Individual
HOWARD KIRBY BLANKENSHIP
Active
Individual
HOWARD KIRBY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
ME12220
FL
2085R0202X
Diagnostic Radiology Physician
ME12220
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME0012220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463130000
—
FL
01
—
71373S
ORIGINAL MEDICARE PTAN
FL
01
—
71393
BLUE CROSS
FL
Enumeration date
08/05/2006
Last updated
01/21/2015
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