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Kenneth Black
NPI 1073719050 · on the registry since 2007
Practice
- Address
- 86th 22nd Ave
Memorial Home
Moundridge, KS 67107 - Phone
- (620) 345-2901
- Fax
- (620) 345-2937
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas