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Contact Information

KEVIN P BLACK, MD
30 HOPE DR STE 2400
HERSHEY, PA17033
 Phone: 717-531-5638
 Fax: 717-531-0983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN P BLACK · (Male)

NPI # 1497719603
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2006
Last updated 05/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD049633L
  • PA Medicaid 0014096660001
Hospital affiliation(s)
  • MILTON S HERSHEY MEDICAL CENTER - (Acute Care)
    500 UNIVERSITY DRIVE
    HERSHEY, PA 17033
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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