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IndividualActive

Kenneth Black

Physical Therapy Assistant

NPI: 1073719050Moundridge, Kansas, 67107(620) 345-2901Male

About Kenneth Black

Kenneth Black is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1073719050. Their primary practice is located at 86TH 22ND AVE, Moundridge, Kansas 67107.

Patients can reach the office at (620) 345-2901. Kenneth Black has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1073719050
Entity Type
Individual
First Name
Kenneth
Last Name
Black
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
86TH 22ND AVE
City
Moundridge
State
Kansas
ZIP
67107-7003
Country
United States
Phone
(620) 345-2901
Fax
(620) 345-2937

Specialty & Taxonomy

Primary Specialty
Physical Therapy Assistant
Classification
Physical Therapy Assistant
Taxonomy Code
225200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
900 SPRUCE ST
City
HALSTEAD
State
KS
ZIP
670562524

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kenneth Black's NPI number?
Kenneth Black's National Provider Identifier (NPI) is 1073719050. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kenneth Black specialize in?
Kenneth Black specializes in Physical Therapy Assistant.
Where is Kenneth Black located?
Kenneth Black practices at 86TH 22ND AVE, Moundridge, Kansas 67107. You can reach them by phone at (620) 345-2901.
Does Kenneth Black accept Medicare?
Based on available data, Kenneth Black is not currently enrolled in the Medicare program.
Does Kenneth Black offer telehealth or virtual visits?
Kenneth Black does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kenneth Black is 1073719050.