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Individual
MR. ALAN D BLACK
Active
Individual
MR. ALAN D BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1127568
KY
164W00000X
Licensed Practical Nurse
Primary
2040679
KY
Other
Enumeration date
01/09/2009
Last updated
10/07/2026
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