Search › Kentucky › 101YP2500X
John Black, MS, LPA
NPI 1457401945 · on the registry since 2007
Practice
- Address
- 110 Roach St
Georgetown, KY 40324 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- Organisation at this address
- New Vista Of The Bluegrass Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-22
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 Kentucky