Individual
KELLY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2902 BIENVILLE BLVD STE 7, OCEAN SPRINGS, MS 39564-4358
(228) 818-9555
(228) 875-7493
Mailing address
2902 BIENVILLE BLVD STE 7, OCEAN SPRINGS, MS 39564-4358
(228) 818-9555
(228) 875-7493
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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