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Individual
KELLY BLANKENSHIP SPRY
Active
Individual
KELLY BLANKENSHIP SPRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103658
NC
363AM0700X
Medical Physician Assistant
103658
NC
363AM0700X
Medical Physician Assistant
1973
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251PA
—
SC
01
—
P00247717
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
06/05/2026
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