Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY DAWN BLACK, MD, MSC
ActiveDR. KELLY DAWN BLACK, MD, MSC is a Pediatric Emergency Medicine healthcare provider located in FORT WORTH, Texas. NPI 1457499592 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · FORT WORTH, TX
Registration Details
- NPI Number
- 1457499592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2007 (19.495236621938 yrs)
- Last Updated
- Apr 28, 2021
- Licenses
-
41081 (KY)MD 6047537 (WA)8697 (SD)
Practice Information
- Address
-
801 7TH AVEFORT WORTH, TX, 761042733Browse TX providers · Browse ZIP 76104
- Phone
- 6828854095
- Fax
- 6828857499
- Primary Specialty
-
Pediatric Emergency Medicine
207PP0204X
- Additional Specialty
- Pediatric Emergency Medicine
- Additional Specialty
- Pediatric Emergency Medicine
Other Pediatric Emergency Medicine Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. BRITTON MICHAEL DEVILLIER | M.D., M.P.H. | 1003888561 |
| WARREN K BRASHER | MD | 1972515864 |
| WILLIAM F BONNELL JR. | MD | 1699787572 |
| CAREY B CRIBBS | MD | 1619082054 |
| JEFFREY W GILMAN | MD | 1376655936 |
| MELISSA J GARRETSON | MD | 1760593883 |
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.