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KENDRA BLACK
NPI 1508136839
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since January 04, 2012
750 N 200 W STE 300, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Black NPPES

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

KENDRA BLACK (NPI 1508136839) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1508136839
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDRA BLACK
Location Address750 N 200 W STE 300Provo, UT 84601-1690
Mailing Address750 N 200 W Ste 300Provo, UT 84601-1690 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorYes
Enumeration DateJanuary 4, 2012
✔ NPI 1508136839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
750 N 200 W STE 300, Provo, UT 84601
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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.

MR. BRENT LEON SIMONS
Social Worker
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
MR. VILI SUNIA LOLOHEA JR.
Student in an Organized Health Care Education/Training Program
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
MRS. MARIAH GRACE GARZA WINSLOW SSW
Social Worker
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
ROBYN AXTELL
Social Worker
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
EMILY KAY ZIPPI
Case Manager/Care Coordinator
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
KATHY BARRETT
Social Worker
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
BRIANNE LARSEN BASTIAN
Student in an Organized Health Care Education/Training Program
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760
JULIANN FENN
Student in an Organized Health Care Education/Training Program
750 N 200 W STE 300
PROVO, UT 84601
Utah County (801) 373-4760

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 Kendra Black's NPI number?

The NPI number for Kendra Black is 1508136839. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Kendra Black located?

Kendra Black practices at 750 N 200 W Ste 300, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Kendra 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 Kendra Black was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.