Individual
KRISTIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 W FLORISSANT AVE, SAINT LOUIS, MO 63136-4930
(314) 504-5154
Mailing address
6700 CABOT DR APT K6, NASHVILLE, TN 37209-4332
(314) 504-5154
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
07/01/2021
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