KELLY SUZANNE BLACK RN IBCLC NPI 1306598115

NPI Information

  • NPI: 1306598115
  • Provider Name: KELLY SUZANNE BLACK, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 389 S SWING RD
    GREENSBORO, NC
    ZIP 27409
  • Phone: (479) 445-4033

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NPI Details

Kelly Suzanne Black, RN, IBCLC is a lactation consultant registered nurse in Greensboro, NC. Kelly Suzanne Black, RN, IBCLC NPI is 1306598115. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

389 S SWING RD
GREENSBORO, NC
ZIP 27409-009
Phone: (479) 445-4033

The enumeration date for this NPI number is 1/23/2022 and was last updated on 1/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant212428NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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