# WATERFRONT URGENT CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902477714
- **Authorized official:** DR. KEVIN BLANKENSHIP MD (MEMBER)
- **Authorized official phone:** (304) 290-0000

## Contact information

- **Practice address:** 215 DON KNOTTS BLVD, MORGANTOWN, WV 26501-0113
- **Practice address phone:** (304) 290-0000
- **Mailing address:** 515 GRAND ST, MORGANTOWN, WV 26501-6607
- **Mailing address phone:** (304) 290-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 10/11/2021