NPI 1023977840

Kennedy Black

Practitioner Student in an Organized Health Care Education/Training Program Bismarck, ND

Practice location

Address: 7500 University Dr, Bismarck, ND 58504-9652
Phone: (701) 355-8030
Mailing address: 9005 Oak Dr, Bismarck, ND 58503-6539

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1023977840
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2026
Record last updated: 17 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.