Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023977840

Kennedy Black is a Student in an Organized Health Care Education/Training Program in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2026.

Licensed in
ND
In the registry since
2026
Specialties on file
2

Practice location Address checks out

7500 University Dr
Bismarck, ND 58504-9652
Phone: (701) 355-8030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (ND)
Physical Therapist Taxonomy 225100000X (ND)

Record details

NPI number1023977840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2026
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026
Mailing address9005 Oak Dr, Bismarck, ND 58503-6539

Other providers in Bismarck