Healthcare Provider Details

I. General information

NPI: 1760304745
Provider Name (Legal Business Name): ANNA-CHRISTINA COOPER KENDALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 FRAYS MILL RD
CHARLOTTESVILLE VA
22911-6116
US

IV. Provider business mailing address

417 CARTER ST
STAUNTON VA
24401-2222
US

V. Phone/Fax

Practice location:
  • Phone: 434-484-0056
  • Fax:
Mailing address:
  • Phone: 434-422-2664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: