Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI BLACK
ActiveKELLI BLACK is a Contractor healthcare provider located in CLEVELAND HEIGHTS, Ohio. NPI 1104589878 is currently active in the NPPES registry. Verify at CMS.
Contractor · CLEVELAND HEIGHTS, OH
Registration Details
- NPI Number
- 1104589878
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2021 (4.8428350290485 yrs)
- Last Updated
- Dec 7, 2023
Practice Information
- Address
-
724 QUILLIAMS RDCLEVELAND HEIGHTS, OH, 441211956Browse OH providers · Browse ZIP 44121
- Phone
- 2165125929
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in CLEVELAND HEIGHTS, OH
| Name | Credential | NPI |
|---|---|---|
| BRIANNA FAIR | — | 1144049164 |
| MISS MELISSA JOHNSON | — | 1932995461 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.