Individual
DR. KELLY MARIE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
860 VALLEY ST., DAYTON, OH 45404
(937) 641-3060
(937) 641-3285
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
34008912
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2854657
—
OH
Enumeration date
10/17/2007
Last updated
03/04/2026
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