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Contact Information

KAVON BLACK
19151 WOODINGHAM DR
DETROIT, MI48221-1650
 Phone: 313-308-7111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for KAVON BLACK · (Female)

NPI # 1376905471
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2016
Last updated 03/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4703108639
Hospital affiliation(s) Not Available
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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