Kelly Dawn Black in Fort Worth - Pediatric Emergency Medicine
Kelly Dawn Black - NPI 1457499592
Kelly Dawn Black is a Pediatric Emergency Medicine in Fort Worth, Texas. Kelly Dawn Black practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Kelly Dawn Black is 1457499592. The last update date is 2021-04-28.
Kelly Dawn Black's current location address is 801 7th Ave, Fort Worth, Texas. You can contact this provider via phone number 6828854095 and fax number 6828857499. The mailing address for Kelly Dawn Black is 801 7th Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Dawn Black |
|---|---|
| Address | 801 7th Ave, Fort Worth, Texas |
| Phone Number | 6828854095 |
| Fax Number | 6828857499 |
| Sole Proprietor | N |
| Credentials | MD, MSC |
NPI Number Detail
| NPI Number | 1457499592 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2021-04-28 |
Provider Mailing Address Detail
| Address | 801 7th Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 7610427330 |
| Phone Number | 6828854095 |
| Fax Number | 6828857499 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 41081 |
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Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Dawn Black by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Dawn Black has been assigned the NPI (National Provider Identifier) 1457499592. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kelly Dawn Black is geographically located?
The Kelly Dawn Black is physically situated at the following location: 801 7Th Ave, Fort Worth, TX, 7610427330.
What is Kelly Dawn Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Dawn Black's area of specialization is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0204X.
On what date did the Kelly Dawn Black receive its 1457499592 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Dawn Black was assigned its 1457499592 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details related to Kelly Dawn Black most recently updated or revised?
The information pertaining to Kelly Dawn Black, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-28.