Black, Kevin J

Black, Kevin J is an individual health care provider with primary practice located at 517 S Euclid Ave Dept Psychiatry, Saint Louis MO 63110-1007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Black, Kevin J can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
517 S Euclid Ave Dept Psychiatry Saint Louis MO 63110-1007
Phone: (314) 286-1700
Fax: (314) 970-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 37001 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 37001 Missouri

Profile Details

NPI number 1558389007
LBN Legal business name Black, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558389007 NPPES
Missouri MEDICAID 206946006

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