Individual provider · Type 1 NPI

Kristen Elizabeth Black, PA-C

Physician Assistant · Troy, MI

NPI number 1770966558 Active

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Call (248) 964-5000 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 306 Hendrie Blvd, Royal Oak, MI 48067-2472 · (248) 200-9425

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007380 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770966558

Kristen Elizabeth Black, PA-C's National Provider Identifier is 1770966558, issued on Jun 30, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Jun 1, 2026.