Individual provider · NPI-1

Kevin J Blankenship, MD

Emergency Medicine · Morgantown, WV

NPI number1003815515
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1003815515
Entity type
Individual (NPI-1)
Name
Kevin J Blankenship
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2005
Certification date
Dec 2, 2025
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine19121WVYes
207P00000X Emergency MedicineC186856CA

Practice location

63 Wharf St
Suite 100
Morgantown, WV 26501-5937

Phone 304-291-3627 · Fax 304-598-3630

Mailing address

63 Wharf St
Suite 100
Morgantown, WV 26501-5937

Phone 304-291-3627 · Fax 304-598-3630

Other practice locations

5725 Ralston St Ste 101
Ventura, CA 93003-6053

Phone 805-658-2273

14614 Victory Blvd
Van Nuys, CA 91411-1621

Phone 747-264-1212

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