Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Dawn Black, MD, MSC

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1457499592

Dr. Kelly Dawn Black, MD, MSC is a Pediatric Emergency Medicine (Pediatrics) Physician in Fort Worth, Texas. Licensed in Kentucky, South Dakota and Washington. Registered with an NPI since 2007.

Licensed in
KY, SD, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4095
Fax: (682) 885-7499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence 8697 (SD)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 41081 (KY)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence MD 6047537 (WA)

Record details

NPI number1457499592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

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