| Mr Alan D Black, | |
|
650 Joel Drive, Bach-yec, Ft Campbell, KY 42223 | |
| (270) 798-8258 | |
| Not Available |
| Full Name | Mr Alan D Black |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 650 Joel Drive, Ft Campbell, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982841128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2040679 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alan D Black, 650 Joel Drive, Bach-yec, Ft Campbell, KY 42223 Ph: (270) 798-8258 | Mr Alan D Black, 650 Joel Drive, Bach-yec, Ft Campbell, KY 42223 Ph: (270) 798-8258 |
Ms. Sue Carol Metcalfe, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Ft Campbell, KY 42223 Phone: 270-798-8560 Fax: 270-798-8501 | |
Lucresia Gardner, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Ft Campbell, KY 42223 Phone: 270-798-8981 | |
Teresa L Short, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Drive, Blanchfield Army Community Hospital, Ft Campbell, KY 42223 Phone: 270-798-8706 Fax: 270-956-0211 | |
Miss Glynis Conchita Hauser-henderson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Lapointe Health Clinic, Bldg 5979 Desert Storm Ave, Ft Campbell, KY 42223 Phone: 270-956-0301 Fax: 270-956-0091 |