MS. KENNETHA RENA SANDERLIN (NPI# 1073800538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073800538 |
Entity Type | Individual |
Full Name | MS. KENNETHA RENA SANDERLIN |
Credential | COSMETOLGIST |
Practice Address |
2807 E Virginia Beach Blvd Suite B Norfolk VA 23504-3747 |
Practice Telephone | 7572351017 |
Mailing Telephone | 7572351017 |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
1204017464 | VA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
2807 E VIRGINIA BEACH BLVD SUITE B |
City | NORFOLK |
State | VA |
Zip Code | 23504-3747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
Find all providers in zip 23504 |
Taxonomy Code | 246ZA2600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Art, Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437706520 | Linda D Dunn | Specialist/Technologist, Other | 3014 Floyd Ave, Richmond, VA 23221-3014 | 2019-08-22 |
1326537770 | Jennifer Griffin Moss | Specialist/Technologist, Other | 110 Northwynd Cir Ste B, Lynchburg, VA 24502-3451 | 2018-05-01 |
1992292049 | Jordan Elizabeth Kantor | Specialist/Technologist, Other | 1114 4th St Sw, Roanoke, VA 24016-4208 | 2018-04-15 |
1144737263 | Tracey Denise Thomas | Specialist/Technologist, Other | 414 Swanson St, Martinsville, VA 24112-2533 | 2018-01-10 |
Please comment or provide details below to improve the information on MS. KENNETHA RENA SANDERLIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.