OrganizationActive
Tabula Rasa, PLLC
NPI 1407396773 · Preferred Provider Organization · Crab Orchard, WV
Provider details
- NPI number
- 1407396773
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kevin Blankenship, Owner(681) 238-5957
- License
- 19121 (WV)
Specialties & taxonomies
Managed Care Organizations
Practice location
1296 Robert C. Byrd Drive
Crab Orchard, WV 25827
Phone: (681) 238-5957
Fax: (681) 238-5958
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 415
Crab Orchard, WV 25827-0415
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.