Melissa Blankenship, RN

Individual provider Active NPI Registered Nurse · Pikeville, KY

NPI 1124171319 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124171319
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1092904 (KY)
Practice address
118 River Dr
Pikeville, KY 41501-1597
Phone
(606) 432-3143
Fax
(606) 437-5412
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1092904KYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1092904 KY Yes

Addresses

Primary practice location

118 River Dr
Pikeville, KY 41501-1597

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other providers in Pikeville, KY

All providers in Pikeville, KY · Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.