NPI 1902251374 · live from the CMS NPI Registry
Kristin Black
Family Medicine in Morgantown, WV. National Provider Identifier 1902251374, active.
NPI record
| NPI | 1902251374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2601 Cranberry Sq, Morgantown, WV 26508 |
| Practice phone | 304-285-1702 |
| Mailing address | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330 |
| Enumerated | May 4, 2016 |
| Last updated | March 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 3370 (WV) |
| Family Medicine primary | 207Q00000X | 3370 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.