Individual
JEFFERY BRADEN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W 3RD ST, NEWPORT, KY 41071-1814
(859) 578-5662
(859) 261-3777
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5662
(859) 261-3777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48387
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138104
—
OH
Enumeration date
05/27/2013
Last updated
07/12/2024
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