NPI 1215226469

Kaelan Dendy Young Black, MD

Practitioner Pediatric Otolaryngology Physician Fairfax, VA

Practice location

Address: 3801 University Dr STE 300, Fairfax, VA 22030-2503
Phone: (703) 383-8130
Fax: (703) 383-7350
Mailing address: 3801 University Dr STE 200, Fairfax, VA 22030-2503

Registered specialties (2)

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 0101263011 (VA)

Other Otolaryngology providers in Virginia →

Pediatric Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence MD223309 (OR)

Registry record

NPI: 1215226469
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2011
Record last updated: 29 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.