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Individual
KIRBY BLACK
Active
Individual
KIRBY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
288150-1
NY
207P00000X
Emergency Medicine Physician
Primary
MD458778
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
04/20/2017
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