Kameron Collin Black, DO Valid NPI

Individual provider · Internal Medicine Physician · Stanford, CA

NPI

1134708886

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

20A22588 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2021-04-07

Last updated

2026-07-10