KAELAN BLACK, M.D.

Otolaryngology - Pediatric Otolaryngology

Active Individual
NPI: 1215226469

Practice Address

3801 UNIVERSITY DR STE 300
Fairfax, VA 22030

Phone: (703) 383-8130

Specialties

Specialty Code Primary License
Otolaryngology - Pediatric Otolaryngology 207YP0228X Yes 0101263011 (VA)

Frequently Asked Questions

NPI 1215226469 is the National Provider Identifier for KAELAN BLACK, M.D., a Otolaryngology - Pediatric Otolaryngology provider located in Fairfax, VA. This NPI was enumerated on March 28, 2011.
KAELAN BLACK, M.D. practices at 3801 UNIVERSITY DR STE 300, Fairfax, VA 22030.

Quick Facts

NPI
1215226469
Type
Individual
Enumerated
Mar 28, 2011
Last Updated
Aug 29, 2025

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