Provider Demographics
NPI:1699385179
Name:SNELL, KENDRA (BSN)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:SNELL
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 AUDUBON CIR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0663
Mailing Address - Country:US
Mailing Address - Phone:757-803-7277
Mailing Address - Fax:
Practice Address - Street 1:904 AUDUBON CIR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0663
Practice Address - Country:US
Practice Address - Phone:757-803-7277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA000-1202878163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health