Black, Audria Kaye
Black, Audria Kaye is an individual health care provider with primary practice located at 8000 Centerview Parkway Ste 104, Cordova TN 38018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Black, Audria Kaye can be contacted via phone (901) 755-6280.Contact Information
Primary practice address
8000 Centerview Parkway Ste 104
Cordova TN 38018
Phone: (901) 755-6280
Fax: (901) 755-7897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36627 | Tennessee |
Profile Details
| NPI number | 1639295272 |
|---|---|
| LBN Legal business name | Black, Audria Kaye |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639295272 | NPPES |
| Tennessee | Other | TN36627 | LICENSE |
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