Individual
KAITLIN C. BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2548 LILLIAN MILLER PKWY STE 100, DENTON, TX 76210-7212
(940) 387-7565
(940) 566-0574
Mailing address
1790 N STONEBRIDGE DR, MCKINNEY, TX 75071-7437
(972) 390-9002
(214) 491-3777
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
S9463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S9463
TEXAS MEDICAL BOARD
TX
Enumeration date
04/15/2016
Last updated
08/07/2023
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