Katie Black
NPI #1073164588 in Grove City, Ohio
Provider Information
- NPI Number
- 1073164588
- Entity Type
- Individual
- Name
- Katie Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 25, 2019
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 2565 LONDON GROVEPORT RD
- City
- Grove City
- State
- Ohio
- ZIP Code
- 43123-9035
- Phone
- (614) 277-2921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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