Healthcare Provider Details

I. General information

NPI: 1376476945
Provider Name (Legal Business Name): KENDELL ALEXANDER ADSON AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10285 LITTLE PATUXENT PKWY STE 200
COLUMBIA MD
21044-3489
US

IV. Provider business mailing address

10285 LITTLE PATUXENT PKWY STE 200
COLUMBIA MD
21044-3489
US

V. Phone/Fax

Practice location:
  • Phone: 410-760-8840
  • Fax:
Mailing address:
  • Phone: 410-760-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01746
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: