Virginia Board of Medicine Practitioner Information

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Kaelan Black, MD

LICENSE # 0101263011
 
Issue Date: 8/1/2017
Expiration Date: 6/30/2024
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 5/12/2022
Otolaryngology Associates
3801 University Dr
3rd Floor
Fairfax, VA- VIRGINIA 22030
Phone: (703) 383-8130
Fax: (703) 383-7350

Location Details

  • Practitioner spends 30% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Fri


Additional Practice Address
Last Updated 5/12/2022
Otolaryngology Associates
1850 Town Center Pkwy
Suite 305
Reston, VA 20190
Phone: 7038342900
Fax:

Location Details

  • Practitioner spends 0% of time at this location.


Additional Practice Address
Last Updated 5/12/2022
Otolaryngology Associates, PC
24805 Pinebrook Road
Suite 201
Chantilly, Virginia 20152
Phone: (703) 327-4900
Fax:

Location Details

  • Practitioner spends 40% of time at this location.
  • Days that practitioner sees patients at this location:
    Tue,Wed,Thur


Years in Active Clinical Practice
Last Updated 5/12/2022
Years in Active Clinical Practice Inside US/Canada: 0
Medicaid
Last Updated 5/12/2022
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 5/12/2022
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia Hospital Affiliations
Last Updated 5/12/2022
Inova Fairfax Hospital (admit)
Hospital Affiliations in States Other Than Virginia
Last Updated 5/12/2022