Individual
MRS. ANDREA P BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1098 S MAYO TRL, PIKEVILLE, KY 41501-1546
(606) 432-5532
(606) 432-5564
Mailing address
PO BOX 2500, PIKEVILLE, KY 41502-2500
(606) 432-5532
(606) 432-5564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA827
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000327326
ANTHEM OF KY
KY
05
—
9500436200
—
KY
Enumeration date
05/15/2006
Last updated
11/10/2015
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