Kelly Black, MD
NPI 1700096955 · Sports Medicine (Emergency Medicine) Physician · Phoenix, AZ
Kelly Black, MD is a Sports Medicine (Emergency Medicine) Physician provider in Phoenix, AZ (NPI 1700096955).
Provider details
- NPI number
- 1700096955
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 24733 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Black's NPI number?
- Kelly Black's National Provider Identifier (NPI) is 1700096955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Black's specialty?
- Kelly Black is listed in the NPPES registry with a primary specialty of Sports Medicine (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Black located?
- Kelly Black's practice location on file with NPPES is 4530 N 32nd St Ste 102, Phoenix, AZ 85018-3357.
- What is Kelly Black's phone number?
- The practice phone number listed in the NPPES registry for Kelly Black is (602) 493-1626.
- Is Kelly Black's NPI active?
- Yes — Kelly Black's NPI (1700096955) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.