Individual
ALYSSA GAIL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
155 BRICKLAYER ST, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Mailing address
234 MEDICAL CIR, MOREHEAD, KY 40351-1194
(606) 780-5330
(606) 780-2362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05595
STATE
KY
05
—
7100762470
—
KY
Enumeration date
03/27/2020
Last updated
06/06/2025
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