Individual
MAKENZI PAYTON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 WALROSE CIR, SEARCY, AR 72143-9569
(501) 920-7324
Mailing address
1407 WALROSE CIR, SEARCY, AR 72143-9569
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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