KAELAN DENDY YOUNG BLACK M.D.
Individual Provider (NPI-1)
Active
Otolaryngology, Pediatric Otolaryngology
Provider Information
- NPI Number
1215226469- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3801 UNIVERSITY DR STE 300, FAIRFAX, VA, 220302503
- Phone
- (703) 383-8130
- Fax
- (703) 383-7350
Specialties & Taxonomies
Otolaryngology, Pediatric Otolaryngology
License: OR #MD223309
Otolaryngology, Pediatric Otolaryngology
Primary License: VA #0101263011