DR. KELLY BLACK, MD, MSC

Emergency Medicine - Pediatric Emergency Medicine

Active Individual
NPI: 1457499592

Practice Address

801 7TH AVE
Fort Worth, TX 76104

Phone: (682) 885-4095

Specialties

Specialty Code Primary License
Pediatrics - Pediatric Emergency Medicine 2080P0204X No MD 6047537 (WA)
Emergency Medicine - Pediatric Emergency Medicine 207PP0204X Yes 8697 (SD)

Frequently Asked Questions

NPI 1457499592 is the National Provider Identifier for DR. KELLY BLACK, MD, MSC, a Emergency Medicine - Pediatric Emergency Medicine provider located in Fort Worth, TX. This NPI was enumerated on February 1, 2007.
DR. KELLY BLACK, MD, MSC practices at 801 7TH AVE, Fort Worth, TX 76104.

Quick Facts

NPI
1457499592
Type
Individual
Enumerated
Feb 1, 2007
Last Updated
Apr 28, 2021

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