MS. KENNETHA RENA SANDERLIN


Address: 2807 E Virginia Beach Blvd, Suite B, Norfolk, VA 23504-3747
Phone: 7572351017

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2807 E VIRGINIA BEACH BLVD
SUITE B
City NORFOLK
State VA
Zip Code 23504-3747

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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
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Taxonomy Information

Taxonomy Code 246ZA2600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Art, Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City NORFOLK
Zip Code 23504

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Dataset Information

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.

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