Individual provider · Type 1 NPI

Kaelan Dendy Young Black, MD

Pediatric Otolaryngology Physician · Fairfax, VA

NPI number 1215226469 Active

Practice location

3801 University Dr Ste 300
Fairfax, VA 22030-2503

Call (703) 383-8130 Map

Fax (703) 383-7350

Mailing address

3801 University Dr, Ste 200
Fairfax, VA 22030-2503

Other practice locations

  • 501 N Graham St Ste 585, Portland, OR 97227-1654 · (503) 413-3690

Specialties and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician 207YP0228XMD223309 (OR)
Pediatric Otolaryngology Physician Primary 207YP0228X0101263011 (VA)

Pediatric Otolaryngology Physician: A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearin…

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About NPI 1215226469

Kaelan Dendy Young Black, MD's National Provider Identifier is 1215226469, issued on Mar 28, 2011. The primary taxonomy on file is Pediatric Otolaryngology Physician (207YP0228X), and the practice location is in Fairfax, VA. The record was last updated on Aug 29, 2025.