Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JANE BLACK, MD
ActiveDR. KELLY JANE BLACK, MD is a Sports Medicine (EM) healthcare provider located in PHOENIX, Arizona. NPI 1700096955 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · PHOENIX, AZ
Registration Details
- NPI Number
- 1700096955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.232127980799 yrs)
- Last Updated
- Jul 8, 2007
- License
-
24733 (AZ)
Practice Information
- Address
-
4530 N 32ND ST STE 102PHOENIX, AZ, 850183357Browse AZ providers · Browse ZIP 85018
- Phone
- 6024931626
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Other Sports Medicine (EM) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CHRISTIAN CHAPMAN | MD | 1679783914 |
| TARA LOWY | ATC | 1104412915 |
| TYLER DEJONG | MD | 1477135614 |
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.