Black, Kevin P

Black, Kevin P is an individual health care provider with primary practice located at 30 Hope Dr Ste 2400 , Hershey PA 17033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Black, Kevin P can be contacted via phone (717) 531-5638.

Contact Information

Primary practice address
30 Hope Dr Ste 2400 Hershey PA 17033
Phone: (717) 531-5638
Fax: (717) 531-0983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD049633L Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD049633L Pennsylvania

Profile Details

NPI number 1497719603
LBN Legal business name Black, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated May 17th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497719603 NPPES
Pennsylvania MEDICAID 0014096660001

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