Healthcare Provider Details

I. General information

NPI: 1831321041
Provider Name (Legal Business Name): KENDAL EGGERS O'HARE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E LEE ST
BEL AIR MD
21014-3528
US

IV. Provider business mailing address

31 E LEE ST
BEL AIR MD
21014-3528
US

V. Phone/Fax

Practice location:
  • Phone: 410-638-5339
  • Fax: 410-638-8877
Mailing address:
  • Phone: 410-638-5339
  • Fax: 410-368-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0077940
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: