Mr. Jay Kyle Black
Mr. Jay Kyle Black is a Case Manager/Care Coordinator in Lancaster, California. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
506 W Jackman StLancaster, CA 93534-2531
Phone: (661) 852-9466
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1073266557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 506 W Jackman St, Lancaster, CA 93534-2531 |
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