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

Dr. Kelly Jane Black, MD

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1700096955

Dr. Kelly Jane Black, MD is a Sports Medicine (Emergency Medicine) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4530 N 32nd St Ste 102
Phoenix, AZ 85018-3357
Phone: (602) 493-1626
Show map & directions

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

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 24733 (AZ)

Record details

NPI number1700096955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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