Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAELAN DENDY YOUNG BLACK, M.D.
ActiveKAELAN DENDY YOUNG BLACK, M.D. is a Pediatric Otolaryngology healthcare provider located in FAIRFAX, Virginia. NPI 1215226469 is currently active in the NPPES registry. Verify at CMS.
Pediatric Otolaryngology · FAIRFAX, VA
Registration Details
- NPI Number
- 1215226469
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2011 (15.411817340904 yrs)
- Last Updated
- Aug 29, 2025
- Licenses
-
MD223309 (OR)0101263011 (VA)
Practice Information
- Address
-
3801 UNIVERSITY DR STE 300FAIRFAX, VA, 220302503Browse VA providers · Browse ZIP 22030
- Phone
- 7033838130
- Fax
- 7033837350
- Primary Specialty
-
Pediatric Otolaryngology
207YP0228X
- Additional Specialty
- Pediatric Otolaryngology
Other Pediatric Otolaryngology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT S BAHADORI | M.D. | 1053377903 |
| DR. TIMOTHY PAUL MCBRIDE | M.D. | 1225094667 |
| DR. CHRISTOPHER W TSANG | M.D. | 1104187525 |
| CASEY LEE YOUNG | — | 1487233805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.