Individual
KAYLAH MCKINLEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
530 NEW WAVERLY PL STE 301, CARY, NC 27518
(919) 747-0892
(919) 342-3472
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 858-0892
(919) 342-3472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21377
SC
Other
Enumeration date
10/18/2017
Last updated
08/13/2018
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