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

Kyler Black, MD

Individual provider Pediatrics Physician · NPI 1518499268

Kyler Black, MD is a Pediatrics Physician in Roosevelt, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2017
Specialties on file
3
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

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
Show map & directions

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

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006-2612 — (602) 839-2296

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12304561-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 12304561-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518499268
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address250 W 300 N, Roosevelt, UT 84066-2336

Other providers in Roosevelt