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DR. KELLY JANE BLACK MD
NPI 1700096955
Emergency Medicine - Sports Medicine in Phoenix, AZ

Active since May 23, 2007
4530 N 32ND ST STE 102, PHOENIX, AZ 85018(602) 493-1626 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Jane Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY JANE BLACK MD (NPI 1700096955) is an individual sports medicine provider in Phoenix, Arizona, licensed in Arizona (24733) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700096955
Entity TypeIndividualFemale
Primary Taxonomy207PS0010X
Provider Legal NameDR. KELLY JANE BLACKCredential: MD
Location Address4530 N 32ND ST STE 102Phoenix, AZ 85018-3357
Mailing Address3119 E Puget AvePhoenix, AZ 85028-5328 · (602) 493-1626
Phone(602) 493-1626
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700096955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in AZ · 24733
Definition
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.
4530 N 32ND ST STE 102, Phoenix, AZ 85018
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEILA HAKIMZADEH GHAFOURI D.D.S.
Dentist (General Practice)
4530 N 32ND ST STE 102
PHOENIX, AZ 85018
Maricopa County (602) 956-0740
RED MOUNTAIN WEIGHT LOSS ARCADIA, LLC
Clinic/Center (Medical Specialty)
4530 N 32ND ST STE 102
PHOENIX, AZ 85018
Maricopa County (480) 347-3413
DR. DAVID CHRISTIAN CHAPMAN MD
Emergency Medicine (Sports Medicine)
4530 N 32ND ST STE 102
PHOENIX, AZ 85018
Maricopa County (602) 493-1626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Black's NPI number?

The NPI number for Kelly Black is 1700096955. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kelly Black located?

Kelly Black practices at 4530 N 32nd St Ste 102, Phoenix, AZ 85018. The listed phone number is (602) 493-1626.

What is Kelly Black's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Kelly Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.