Kyle Steven Blankenship, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1619504420

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

213829 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2020-03-24

Last updated

2020-03-24