Individual
MS. LEONTA F BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Mailing address
1221A COUNE ST, FORT CAMPBELL, KY 42223-3500
(304) 633-7094
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
69993
WV
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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