Doctor profile · Federal record
Dr. Kiley Black, NP
Nurse Practitioner · Minneapolis, MN
- NPI 1306989405
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2545 Chicago Ave, Suite 601
Minneapolis, MN 554044522
(612) 863-7770
fax (612) 863-7772
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- August 17, 2010
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Minnesota #R 1403224
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306989405. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$132
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ConvaTec INC. | 1 | $131.90 |
By nature of payment
Frequently asked questions
What is Dr. Kiley Black's medical specialty?
Dr. Kiley Black practices Nurse Practitioner in Minneapolis, MN.
Where does Dr. Kiley Black practice?
Dr. Kiley Black practices at 2545 Chicago Ave, Minneapolis, MN 554044522. Office phone: 6128637770.
What is Dr. Kiley Black's NPI?
Dr. Kiley Black's National Provider Identifier (NPI) is 1306989405, issued by NPPES.