KENNETH BLACK III

Technician - Personal Care Attendant

Active Individual
NPI: 1508650920

Practice Address

1710 PENNSYLVANIA AVE
Charleston, WV 25302

Phone: (304) 348-0707

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1508650920 is the National Provider Identifier for KENNETH BLACK III, a Technician - Personal Care Attendant provider located in Charleston, WV. This NPI was enumerated on April 9, 2025.
KENNETH BLACK III practices at 1710 PENNSYLVANIA AVE, Charleston, WV 25302.

Quick Facts

NPI
1508650920
Type
Individual
Enumerated
Apr 9, 2025
Last Updated
Apr 9, 2025

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