Individual provider · Type 1 NPI

Collin Sheffield Black, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1659905032 Active

Practice location

800 Rose St
Lexington, KY 40536-6136

Call (801) 471-9422 Map

Mailing address

532 Forest Hill Dr
Lexington, KY 40509-1912

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XR5445 (KY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659905032

Collin Sheffield Black, MD's National Provider Identifier is 1659905032, issued on Feb 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Mar 9, 2023.