Provider Demographics
NPI:1164670816
Name:BLANKENSHIP, KAMA (RD, LD)
Entity type:Individual
Prefix:
First Name:KAMA
Middle Name:
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 SWISS AVE UNIT 140181
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-0028
Mailing Address - Country:US
Mailing Address - Phone:214-734-2988
Mailing Address - Fax:
Practice Address - Street 1:6463 VELASCO AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3756
Practice Address - Country:US
Practice Address - Phone:214-734-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-07
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85779133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered