Phillips-Black, Leah D

Phillips-Black, Leah D is an individual health care provider with primary practice located at 800 Zorn Ave , Louisville KY 40206-1433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Phillips-Black, Leah D can be contacted via phone (502) 287-4000.

Contact Information

Primary practice address
800 Zorn Ave Louisville KY 40206-1433
Phone: (502) 287-4000
Fax: (502) 287-6906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4140P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001612A Indiana

Profile Details

NPI number 1609879162
LBN Legal business name Phillips-Black, Leah D
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 6th, 2012 - about 12 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 1609879162 NPPES
Indiana MEDICAID 200474340A

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