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NPI Profile for Dr KELLY D BLACK in FORT WORTH, TX.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
207PP0204X | 93 | Physician/Emergency Medicine | |
Pediatric Emergency Medicine |
2080P0204X | 37 | Physician/Pediatric Medicine |
| NPI # | 1457499592 |
|
| Status | Active | |
| Credentials | MD, MSC | |
| Entity | Individual | |
| Enumeration date | 02/01/2007 | |
| Last updated | 04/28/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KELLY D BLACK
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KELLY D BLACK, MD, MSC