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Individual

RHIANNON L BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
160 N EAGLE CREEK DR, SUITE 202, LEXINGTON, KY 40509-2121
(859) 263-0022
(859) 263-4666
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009682
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100380950
KY
Enumeration date
11/09/2015
Last updated
07/11/2019
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