Healthcare Provider Details

I. General information

NPI: 1295763795
Provider Name (Legal Business Name): STEVEN F KENDELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLUMBUS CTR STE 600
VIRGINIA BEACH VA
23462-6760
US

IV. Provider business mailing address

PO BOX 3144
VIRGINIA BEACH VA
23454-9244
US

V. Phone/Fax

Practice location:
  • Phone: 757-453-5885
  • Fax: 888-312-5192
Mailing address:
  • Phone: 757-453-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101263105
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35-087235
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2022-0116
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number54592
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD94571
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: