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Individual

JASYN BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
617 23RD ST STE 3, ASHLAND, KY 41101-2845
(606) 408-0842
(606) 408-6073
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9571

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.011694
PW
207RC0000X
Cardiovascular Disease Physician
Primary
05540
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/15/2017
Last updated
08/29/2023
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