MR. Alan D Black
NPI #1982841128 in Ft Campbell, Kentucky
Provider Information
- NPI Number
- 1982841128
- Entity Type
- Individual
- Name
- MR. Alan D Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 9, 2009
- Last Updated
- Jan 9, 2009
Practice Location
- Address
- 650 JOEL DRIVE
- Address 2
- BACH-YEC
- City
- Ft Campbell
- State
- Kentucky
- ZIP Code
- 42223
- Phone
- (270) 798-8258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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