NPI
M. Kathryn Black
NPI 1548374754
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LAC
- Type
- Individual
- Enumeration date
- 2006-08-18
- Last updated
- 2019-07-23
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Specialties
Licenses
- License CA
- 14582
- License CA
- ac3224
Location
- Practice location
- 750 Central Ave
- City
- Willits CA
- Postal code
- 95490-3938
- Phone
- (707) 459-5744
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Willits, CA. 207 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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