Kimberly Ann Black
Kimberly Ann Black is a Nurse Practitioner in Garfield Heights, Ohio. Qualified in 2020, 6 years ago. Practices with Wissam Khoury DPM LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 6
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
10500 Antenucci BlvdGarfield Heights, OH 44125
Phone: (440) 891-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APRN.CNP.0028206 (OH) |
|---|
Record details
| NPI number | 1578153953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 20, 2021 |
| Last updated in NPPES | January 20, 2021 |
| Certification date | January 5, 2021 |
| Mailing address | 4283 Ridgeland Cir, Cleveland, OH 44135-1000 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Wissam Khoury Dpm Llc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Garfield Heights
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Kenyatta Denise Anderson, FNP-C
12914 Broadway Ave, Garfield Heights, OH 44125-1859 · (216) 848-9123
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Julianne Tara Berish, CNP
5595 Transportation Blvd Ste 220, Garfield Heights, OH 44125-5359 · (216) 587-5431
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Megan K Cengic, FNP
12000 McCracken Rd Ste 357, Garfield Heights, OH 44125-2933 · (216) 223-6350
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Denise M. Degi, CNP
12300 McCracken Rd, Garfield Heights, OH 44125-2914 · (216) 440-5927
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Jose Diaz, FNP-BC
5404 E 135th St, Garfield Heights, OH 44125-3214 · (216) 475-5863
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Barton Russell Poole, CNP
5555 Transportation Blvd, Garfield Heights, OH 44125-5371 · (216) 518-3469