Individual
KIRK M BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
220 S QUEEN ST, MARTINSBURG, WV 25401-3214
(336) 309-5181
Mailing address
PO BOX 24833, WINSTON SALEM, NC 27114-4833
(336) 309-5181
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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