Healthcare Provider Details

I. General information

NPI: 1811542731
Provider Name (Legal Business Name): MRS. KENDRA KAY LAPOINTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 SPARROW RD
CHESAPEAKE VA
23325-2504
US

IV. Provider business mailing address

5380 GABRIEL CT
NORFOLK VA
23502-2110
US

V. Phone/Fax

Practice location:
  • Phone: 505-379-5982
  • Fax:
Mailing address:
  • Phone: 505-379-5982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: