MEDICARE: KEVIN W. SANDERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	0101050661	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	55957	OTHER	VA	SENTARA HEALTHCARE
3	326593	OTHER	VA	ANTHEM BC BS

General Provider Information

NPI Number	:	1326026451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN W. SANDERS M.D.

Provider Business Mailing Address
First Line	:	4000 COLISEUM DR
Second Line	:	SUITE 300
City	:	HAMPTON
State	:	VA
Zip	:	23666-5906
Country	:	US
Telephone Number	:	757-452-3441
Fax Number	:	757-224-1799

Provider Business Practice Location Address
First Line	:	4000 COLISEUM DR
Second Line	:	SUITE 300
City	:	HAMPTON
State	:	VA
Zip	:	23666-5906
Country	:	US
Telephone Number	:	757-452-3441
Fax Number	:	757-224-1799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	09/30/2011

Similar Medicare Providers

1205834157 — DR. ARTHUR DAVID GREENE MD
Practice Location Address:

4000 COLISEUM DR , SUITE 100
HAMPTON, VA
23666-5906

Practice Phone: 757-827-2480
Practice Fax: 757-827-2566

1548261787 — DR. MARTHA SAAD IBRAHIM BOULOS M.D.
Practice Location Address:

4000 COLISEUM DR , STE. 200
HAMPTON, VA
23666-5906

Practice Phone: 757-736-8050
Practice Fax: 757-736-8080

1578531513 — DR. MICHAEL A MCCULLEN MD
Practice Location Address:

4000 COLISEUM DR , STE 445
HAMPTON, VA
23666-5906

Practice Phone: 757-827-2127
Practice Fax: 757-827-2255

1679530703 — DERRICK E RIDLEY MD
Practice Location Address:

4000 COLISEUM DR , SUITE 100
HAMPTON, VA
23666-5906

Practice Phone: 757-827-2200
Practice Fax: 757-827-2266

1083659007 — DR. JOHN DAVID LASATER MD
Practice Location Address:

4000 COLISEUM DR , STE 300
HAMPTON, VA
23666-5906

Practice Phone: 757-452-3441
Practice Fax: 757-224-1799

1568481018 — NICOLE HATCHER PA-C
Practice Location Address:

4000 COLISEUM DR , STE 445
HAMPTON, VA
23666-5906

Practice Phone: 757-827-2127
Practice Fax: 757-827-2255

Directions to “ KEVIN W. SANDERS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.