Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin Blankenship, PA

Individual provider Surgical Physician Assistant · NPI 1174634562

Kristin Blankenship, PA is a Surgical Physician Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

747 N Rutledge St 3rd Fl
Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085004979 (IL)

Record details

NPI number1174634562
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 17, 2014

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