Kavon Black
Kavon Black is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
Practice location Address checks out
19151 Woodingham DrDetroit, MI 48221-1650
Phone: (313) 308-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703108639 (MI) |
|---|
Record details
| NPI number | 1376905471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 28, 2016 |
| Last updated in NPPES | March 28, 2016 |
| Mailing address | 19151 Woodingham Dr, Detroit, MI 48221-1650 |
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