Individual
KAITLYN BLANKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
451 HIDDEN MEADOWS DR STE 260, HILLSDALE, MI 49242-9812
(517) 437-5350
Mailing address
5523 BAYWATER DR, NEWBURGH, IN 47630-7316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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