Individual
KARA N BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
213 MAIN ST, ELKINS, WV 26241-4161
(304) 637-2360
Mailing address
213 MAIN ST, ELKINS, WV 26241-4161
(304) 637-2360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01432
WV
Other
Enumeration date
09/24/2009
Last updated
04/06/2022
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