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DR. KELLY JANE BLACK MD NPI 1700096955


NPI Information

NPI: 1700096955
Provider Name: DR. KELLY JANE BLACK, MD
Classification: Emergency Medicine - 207PS0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
4530 N 32ND ST STE 102
PHOENIX, AZ
ZIP 85018
Phone: (602) 493-1626
Get Directions

DR. Kelly Jane Black, MD is a sports medicine emergency medicine in Phoenix, AZ. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. DR. Kelly Jane Black, MD NPI is 1700096955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4530 N 32ND ST STE 102
PHOENIX, AZ
ZIP 85018-357
Phone: (602) 493-1626

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PS0010XEmergency MedicineSports Medicine24733ARIZONAYes

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: 4/28/2024

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