Individual
KEVIN HALE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 355-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025-01564
NC
Other
Enumeration date
11/02/2006
Last updated
08/28/2025
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