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Kristin Blankenship, PA

Surgical PA · Springfield, IL

UnclaimedPANPI 1174634562
Primary taxonomy
363AS0400X
Enumerated
2006-08-31
Practice location
Springfield, IL
Last NPPES update
2014-11-17

State licenses

  • IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTInactivethrough 2016

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.