KENNETH BRYAN BLACK

AMARILLO, TX
NPI1316314370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  857787)
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
KENNETH BRYAN BLACK REGISTERED NURSE
6401 STONEHAM DR
AMARILLO, TX 79109-6438
Phone number: 806-206-6823
Mailing Address
KENNETH BRYAN BLACK REGISTERED NURSE
6401 STONEHAM DR
AMARILLO, TX 79109-6438
Phone number: 806-206-6823
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