Individual
COURTNEY ANN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
Mailing address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T-00763
KS
Other
Enumeration date
10/12/2006
Last updated
08/17/2007
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