Kaelan Dendy Young Black, M.D. is a student in an organized health care education training program in Tampa, FL with 13 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kaelan Dendy Young Black, M.D. NPI is 1215226469. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011
The provider's business location address is:
12901 BRUCE B DOWNS BLVD
MDC 41
TAMPA, FL
ZIP 33612-742
Phone: (813) 844-7995
The NPI 1215226469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/28/2011 and was last updated on 11/21/2017.