NPI 1194041525

Khrystal Blankenship, BHRS

Practitioner Rehabilitation Counselor Ada, OK

Practice location

Address: 314 S Broadway Ave Suite 106, Ada, OK 74820-5828
Phone: (580) 235-0210
Fax: (580) 235-0211
Mailing address: PO Box 662, Purcell, OK 73080-0662

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence N/A (OK)

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Registry record

NPI: 1194041525
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2010
Record last updated: 9 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.