Individual
PAUL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1847
Mailing address
3901 RAINBOW BLVD, MAILSTOP 4032, KANSAS CITY, KS 66160
(913) 588-1847
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
94-12944
KS
208800000X
Urology Physician
Primary
9802
NE
Other
Enumeration date
06/28/2023
Last updated
07/07/2026
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