Black, Kelly Renee

Black, Kelly Renee is an sole proprietor health care provider with primary practice located at 430 Morton Plant St Ste 301 , Clearwater FL 33756-3395. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Black, Kelly Renee can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
430 Morton Plant St Ste 301 Clearwater FL 33756-3395
Phone: (813) 978-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1508384736
LBN Legal business name Black, Kelly Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2017
Last updated Mar 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers