ALAN D BLACK

FT CAMPBELL, KY
NPI1982841128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KY  2040679)
Enumeration Date2009-01-09
Last Update Date2009-01-09
Business Address
Mr. ALAN D BLACK
650 JOEL DRIVE BACH-YEC
FT CAMPBELL, KY 42223
Phone number: 270-798-8258
Mailing Address
Mr. ALAN D BLACK
650 JOEL DRIVE BACH-YEC
FT CAMPBELL, KY 42223
Phone number: 270-798-8258