Kenneth A Black is a Family Medicine Physician based in Portage, IN. Kenneth A Black practices in Portage, IN and has the professional credentials of MD. The NPI Number for Kenneth A Black is 1134184112 and holds a License No. 01024841 (Indiana).
The current practice location address for Kenneth A Black is 3630 Willowcreek Rd, Portage, IN and can be reached out via phone at 219-759-1157. You can also correspond with Kenneth A Black through the mailing address at 3630 WILLOWCREEK RD, PORTAGE, IN - 46368-5075 (mailing address contact number: 219-759-1157).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100207860A | 05 | IN | |
| 000000521738 | 01 | IN | ANTHEM |
| 5251392 | 01 | AETNA |
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