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

Kelly Black

Individual provider Peer Specialist · NPI 1871471177

Kelly Black is a Peer Specialist in Chardon, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1871471177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address12557 Ravenwood Dr, Chardon, OH 44024-9009

Other providers in Chardon