Student in an Organized Health Care Education/Training Program
KENNEDY BLACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1023977840 · enumerated 2026-01-17 · record updated 2026-01-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 9005 OAK DR, BISMARCK, ND, 58503-6539 (701) 955-5815 Google Maps Apple Maps OpenStreetMap
- Practice location 7500 UNIVERSITY DR, BISMARCK, ND, 58504-9652 (701) 355-8030 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X · Primary
- Physical Therapist 225100000X
In this directory
ND Burleigh County Bismarck Student in an Organized Health Care Education/Training Program
Locations and evidence
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Practice location
BISMARCK, ND, 585049652
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.