Individual provider · Type 1 NPI

Kelly Dawn Black, MD, MSC

Pediatric Emergency Medicine (Emergency Medicine) Physician · Fort Worth, TX

NPI number 1457499592 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Call (682) 885-4095 Map

Fax (682) 885-7499

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X41081 (KY)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XMD 6047537 (WA)
Pediatric Emergency Medicine (Emergency Medicine) Physician Primary 207PP0204X8697 (SD)

Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

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About NPI 1457499592

Kelly Dawn Black, MD, MSC's National Provider Identifier is 1457499592, issued on Feb 1, 2007. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 28, 2021.