Provider Demographics
NPI:1710488390
Name:BLANKENSHIP, KATI (CDCA)
Entity Type:Individual
Prefix:
First Name:KATI
Middle Name:
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 ESTER CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-9728
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:57 TOWNSHIP RD 1257
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619
Practice Address - Country:US
Practice Address - Phone:740-451-0307
Practice Address - Fax:740-451-0311
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator