Kochenderfer, Mark D

Kochenderfer, Mark D is an individual health care provider with primary practice located at 2013 Jefferson St Sw , Roanoke VA 24014-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kochenderfer, Mark D can be contacted via phone (540) 982-0237.

Contact Information

Primary practice address
2013 Jefferson St Sw Roanoke VA 24014-2419
Phone: (540) 982-0237
Fax: (540) 982-0103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101244463 Virginia

Profile Details

NPI number 1396720454
LBN Legal business name Kochenderfer, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Feb 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396720454 NPPES
Virginia Other 1396720454 ANTHEM
Virginia MEDICAID 1396720454 ANTHEM

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