Individual
MATTHEW BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE J301, LEXINGTON, KY 40536-2818
(859) 323-1691
(859) 323-1700
Mailing address
740 SOUTH LIMESTONE SUITE K301, LEXINGTON, KY 40536-0001
(859) 323-4661
(859) 257-3644
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
61145
KY
208600000X
Surgery Physician
036155268
IL
208600000X
Surgery Physician
2023-02598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023-02598
MEDICAL BOARD
NC
Enumeration date
05/05/2016
Last updated
10/09/2025
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