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KENNEDY BLACK
NPI 1023977840
Student in an Organized Health Care Education/Training Program in Bismarck, ND

Active since January 17, 2026
7500 UNIVERSITY DR, BISMARCK, ND 58504(701) 355-8030 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennedy Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY BLACK (NPI 1023977840) is an individual student in an organized health care education/training program in Bismarck, North Dakota and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1023977840
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY BLACK
Location Address7500 UNIVERSITY DRBismarck, ND 58504-9652
Mailing Address9005 Oak DrBismarck, ND 58503-6539 · (701) 955-5815
Phone(701) 355-8030
Sole ProprietorNo
Enumeration DateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
✔ NPI 1023977840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysical TherapistTaxonomy 225100000X
7500 UNIVERSITY DR, Bismarck, ND 58504
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMSEY BLAHNIK
Specialist/Technologist (Athletic Trainer)
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (970) 531-6195
DESTINY SUZANNE PFLIIGER
Specialist/Technologist (Athletic Trainer)
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 355-8030
EMILY JOY TYRRELL MS, ACSM-CEP
Clinical Exercise Physiologist
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 355-5160
GRACE CHRISTINE TELEPAK
Specialist/Technologist (Athletic Trainer)
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (480) 495-4944
KYLE T DARRAS FNP-C
Nurse Practitioner
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 355-3770
GABRIELLE ELIZABETH DILWORTH I
Student in an Organized Health Care Education/Training Program
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 355-8030
BRANDY CURRIE
Specialist/Technologist (Athletic Trainer)
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 934-0258
DR. JUSTIN J MCCABE DCEP
Clinical Exercise Physiologist
7500 UNIVERSITY DR
BISMARCK, ND 58504
Burleigh County (701) 355-5198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Black's NPI number?

The NPI number for Kennedy Black is 1023977840. It was assigned to this individual provider in the NPPES registry on January 17, 2026.

Where is Kennedy Black located?

Kennedy Black practices at 7500 University Dr, Bismarck, ND 58504. The listed phone number is (701) 355-8030.

What is Kennedy Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Black was last updated on January 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.