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Contact Information

KELLY M BLANKENSHIP, DO
860 VALLEY ST.
DAYTON, OH45404
 Phone: 937-641-3060
 Fax: 937-641-3285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KELLY M BLANKENSHIP · (Female)

NPI # 1396934162
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/17/2007
Last updated 03/04/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 34008912
  • OH Medicaid 2854657
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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