Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH BLACK
ActiveKENNETH BLACK is a Occupational Therapist healthcare provider located in MOUNDRIDGE, Kansas. NPI 1073719050 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOUNDRIDGE, KS
Registration Details
- NPI Number
- 1073719050
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2007 (19.103131304541 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14-01477 (KS)
Practice Information
- Address
-
86TH 22ND AVEMEMORIAL HOMEMOUNDRIDGE, KS, 671077003Browse KS providers · Browse ZIP 67107
- Phone
- 6203452901
- Fax
- 6203452937
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOUNDRIDGE, KS
| Name | Credential | NPI |
|---|---|---|
| MRS. CINDY LEE STUCKY | PTA | 1790015477 |
| MS. MELISSA SUE HAWKINS | CPTA | 1134497969 |
| KAREN L STUCKY | CPTA | 1093123820 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.