SearchKansas1041C0700X

Jaylea Black

NPI 1285127530 · on the registry since 2018

Practice

Address
4320 Vine Street
Unit 80 - Pmb 191
Hays, KS 67601
Phone
(785) 734-0292

Additional practice sites

  • 204 S College St, Scott City, KS
  • 1311 Allen St, Hays, KS

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
1041C0700X
Licence states on file
KS, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-11

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