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Individual

JOHN HUNTER BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 783-6808
(606) 783-6906
Mailing address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1181
(606) 783-6808
(606) 783-6906

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13171
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64131717
KY
Enumeration date
04/12/2006
Last updated
10/15/2010
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