Provider Demographics
NPI:1497999353
Name:MCKENDREE SERVICES, INC.
Entity Type:Organization
Organization Name:MCKENDREE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENDREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-358-4425
Mailing Address - Street 1:13 S JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-3264
Mailing Address - Country:US
Mailing Address - Phone:757-262-6099
Mailing Address - Fax:757-637-7737
Practice Address - Street 1:13 S JUNIPER ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-3264
Practice Address - Country:US
Practice Address - Phone:757-262-6099
Practice Address - Fax:757-637-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment