Kennedy Black

NPI #1023977840 in Bismarck, North Dakota

Provider Information

NPI Number: 1023977840
Entity Type: Individual
Name: Kennedy Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 17, 2026
Last Updated: Jan 17, 2026

Practice Location

Address: 7500 UNIVERSITY DR
City: Bismarck
State: North Dakota
ZIP Code: 58504-9652
Phone: (701) 355-8030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Physical Therapist	225100000X

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