Individual provider · Type 1 NPI

Kelly Renee Black

Physician Assistant · Clearwater, FL

NPI number 1508384736 Active

Practice location

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395

Call (813) 978-9700 Map

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915

Other practice locations

  • 3301 W Gandy Blvd, Tampa, FL 33611-2931 · (813) 925-1903

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

26 other providers at this address

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About NPI 1508384736

Kelly Renee Black's National Provider Identifier is 1508384736, issued on Sep 8, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clearwater, FL. The record was last updated on May 18, 2026.