Individual
WILLIAM JEFFRY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-1674
(785) 295-8359
(785) 231-5988
Mailing address
DEPT CH 14389, PALATINE, IL 60055-4389
(785) 295-8108
(785) 231-5991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
45550
KS
363L00000X
Nurse Practitioner
Primary
H163151
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332830A
—
KS
Enumeration date
09/26/2006
Last updated
05/01/2025
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