Search › Virginia › Pediatric Otolaryngology Physician
Kaelan Black, M.D
NPI 1215226469 · on the registry since 2011
Practice
- Address
- 3801 University Dr Ste 300
Fairfax, VA 22030 - Phone
- (703) 383-8130
- Fax
- (703) 383-7350
- Organisation at this address
- Advanced Hearing Services
Otolaryngology Associates, Pc
Fairfax Radiological Consultants PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 501 N Graham St Ste 585, Portland, OR
Registry record
- Primary taxonomy
- Pediatric Otolaryngology Physician
207YP0228X
- Also registered as
- Pediatric Otolaryngology Physician
- Licence states on file
- OR, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-29
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia