MEDICARE: DR. KENDAL EGGERS O'HARE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0077940	MD

General Provider Information

NPI Number	:	1831321041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENDAL EGGERS O'HARE M.D.

Provider Business Mailing Address
First Line	:	31 E LEE ST
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3528
Country	:	US
Telephone Number	:	410-638-5339
Fax Number	:	410-368-8877

Provider Business Practice Location Address
First Line	:	31 E LEE ST
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3528
Country	:	US
Telephone Number	:	410-638-5339
Fax Number	:	410-638-8877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	06/18/2026

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