person
Mr. Collin Sheffield Black, MD
Student in an Organized Health Care Education/Training Program in Lexington, Kentucky
NPI 1659905032

Collin Sheffield Black is a Student in an Organized Health Care Education/Training Program based in Lexington, KY. Collin Sheffield Black practices in Lexington, KY and has the professional credentials of MD. The NPI Number for Collin Sheffield Black is 1659905032 and holds a License No. (Kentucky).

The current practice location address for Collin Sheffield Black is 800 Rose St, Lexington, KY and can be reached out via phone at 801-471-9422.

Location: 800 Rose St, Lexington, KY, 40509-1912
person
Provider Profile Details
NPI Number
1659905032
Provider Name
Collin Sheffield Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Rose St, Lexington, KY, 40509-1912
Phone Number
801-471-9422
Fax Number
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Rose St
City
State
Zip
40536-6136
Phone Number
801-471-9422
Fax Number
person
Provider Business Mailing Address Details
Address
800 Rose St
City
State
Zip
40536-6136
Phone Number
801-471-9422
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
R5445 (Kentucky)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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