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

Kylee Black

Individual provider Physician Assistant · NPI 1306539440

Kylee Black is a Physician Assistant in Fort Myers, Florida. Qualified in 2023, 3 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630
Phone: (239) 343-6202
Fax: (239) 343-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117571 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1306539440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address4957 13k St Nw, Garrison, ND 58540-9629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Fort Myers