Individual
MS. KIRSTIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11212 ALBION ALY, SPRINGDALE, OH 45246-3782
(513) 620-3963
Mailing address
11212 ALBION ALY, SPRINGDALE, OH 45246-3782
(513) 620-3963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.436101
OH
163WH0200X
Home Health Registered Nurse
RN.436101
OH
171M00000X
Case Manager/Care Coordinator
RN.436101
OH
174H00000X
Health Educator
RN.436101
OH
251C00000X
Developmentally Disabled Services Day Training Agency
RN.436101
OH
251G00000X
Community Based Hospice Care Agency
RN.436101
OH
251J00000X
Nursing Care Agency
RN.436101
OH
251S00000X
Community/Behavioral Health Agency
RN.436101
OH
253Z00000X
In Home Supportive Care Agency
RN.436101
OH
347C00000X
Private Vehicle
—
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Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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