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Kevin Zachary Black
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
NPI 1285256909

Kevin Zachary Black is a Student in an Organized Health Care Education/Training Program based in Pittsburgh, PA. Kevin Zachary Black practices in Erie, PA. The NPI Number for Kevin Zachary Black is 1285256909 and holds a License No. (Pennsylvania).

The current practice location address for Kevin Zachary Black is 100 Peach St Ste 400, Erie, PA and can be reached out via phone at 814-454-8287.

Location: 100 Peach St Ste 400, Erie, PA, 15213-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285256909
Provider Name
Kevin Zachary Black
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Peach St Ste 400, Erie, PA, 15213-3410
Phone Number
814-454-8287
Fax Number
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Peach St Ste 400
City
Erie
State
Pennsylvania
Zip
16507-1423
Phone Number
814-454-8287
Fax Number
person
Provider Business Mailing Address Details
Address
100 Peach St Ste 400
City
Erie
State
Pennsylvania
Zip
16507-1423
Phone Number
814-454-8287
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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