Kenneth Black
Kenneth Black is a Physical Therapy Assistant in Moundridge, Kansas. Licensed in Kansas. Registered with an NPI since 2007.
- Licensed in
- KS
- In the registry since
- 2007
Practice location Address checks out
86TH 22nd Ave Memorial HomeMoundridge, KS 67107-7003
Phone: (620) 345-2901
Fax: (620) 345-2937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 14-01477 (KS) |
|---|
Record details
| NPI number | 1073719050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 900 Spruce St, Halstead, KS 67056-2524 |
Other providers in Moundridge
-
MS. Melissa Sue Hawkins, CPTA
218 E Pack St, Moundridge, KS 67107-8815 · (620) 345-6391
-
Mrs. Cindy Lee Stucky, PTA
135 S Christian Ave, Moundridge, KS 67107-9000 · (620) 345-7600
-
Karen L Stucky, CPTA
6614 N River Park Rd, Moundridge, KS 67107-8104 · (620) 345-2947