Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KRISTIN SHANNON BLACK, MD
ActiveDR. KRISTIN SHANNON BLACK, MD is a Family Medicine healthcare provider located in LANCASTER, South Carolina. NPI 1609872720 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LANCASTER, SC
Registration Details
- NPI Number
- 1609872720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2005 (21.123466096824 yrs)
- Last Updated
- Sep 26, 2012
- Licenses
-
9901115 (NC)22582 (SC)
Practice Information
- Address
-
820 W MEETING STLANCASTER, SC, 297202202Browse SC providers · Browse ZIP 29720
- Phone
- 8032855441
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LANCASTER, SC
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK SHARP | MD | 1801880711 |
| DR. LINDA C DAILY | DO | 1609860527 |
| DR. STEVEN M CULP | MD | 1013901925 |
| DR. KEITH D SHEALY | M.D. | 1578557153 |
| DR. MANUEL FACHADO JR. | D.O. | 1740228394 |
| DR. SUDESH H KEDAR | MD | 1124068945 |
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.