Kaelan Black, M.D.

Individual Active
NPI 1215226469
Pediatric Otolaryngology Physician Fairfax, VA

NPI 1215226469 belongs to Kaelan Black, M.D., a pediatric otolaryngology physician with a practice location in Fairfax, VA. The NPI was issued on March 28, 2011, and the record was last updated in NPPES on August 29, 2025. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician Primary 207YP0228X 0101263011 (VA)
Pediatric Otolaryngology Physician 207YP0228X MD223309 (OR)

Practice locations

3801 University Dr Ste 300
Fairfax, VA 22030-2503
Phone: (703) 383-8130
501 N Graham St Ste 585
Portland, OR 97227-1654
Phone: (503) 413-3690

Local context

Active NPPES records list 16 providers with pediatric otolaryngology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 13 in Virginia and 851 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kaelan Dendy Young Black
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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