Individual
KACI M BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 E MAIN ST, DAYTON, OH 45426-2909
(844) 548-7627
Mailing address
714 E MAIN ST, DAYTON, OH 45426-2909
(844) 548-7627
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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