William S Black, MD Valid NPI

Individual provider · Family Medicine Physician · Owensboro, KY

NPI

1063478675

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

28129 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-22

Last updated

2023-06-13