Black, Kimberly Ann

Black, Kimberly Ann is an individual health care provider with primary practice located at 10500 Antenucci Blvd. , Garfield Heights OH 44125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Kimberly Ann can be contacted via phone (440) 891-6500.

Contact Information

Primary practice address
10500 Antenucci Blvd. Garfield Heights OH 44125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028206 Ohio

Profile Details

NPI number 1578153953
LBN Legal business name Black, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 3 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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