Dr. Kelly Dawn Black
Pediatric Emergency Physician Pediatric Emergency Doctor
801 7th Ave
Fort Worth
, Texas 76104-2733
Dr. Kelly Dawn Black
Pediatric Emergency Physician Pediatric Emergency Doctor
801 7th Ave
Fort Worth
, Texas 76104-2733
(682) 885-1396
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Kelly Dawn Black
- Po Box 733784
- Dallas, TX
- Zip : 75373-3784
- Fax : (682) 885-1396
- Phone : (682) 885-1855
Second Address
- Dr. Kelly Dawn Black
- 801 7th Ave
- Fort Worth, TX
- Zip : 76104-2733
- Fax : (682) 885-7499
- Phone : (682) 885-4095
Reviews
FAQs
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What type of doctor is Dr. Kelly Dawn Black
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Is Dr. Kelly Dawn Black a sole practitioner?
Is Dr. Kelly Dawn Black accepting new patients?
What languages does Dr. Kelly Dawn Black speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 8697 | SD |
| N | 2080P0204X | Pediatric Emergency Doctor | 41081 | KY |
| N | 2080P0204X | Pediatric Emergency Doctor | MD 6047537 | WA |
National Provider Identifier
| NPI | 1457499592 |
|---|---|
| Provider Name | Dr. Kelly Dawn Black |
| First Address | Dallas, TX 75373-3784 |
| Second Address | Fort Worth, TX 76104-2733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 28/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.