Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN R. FENDERSON, M.D.
ActiveFamily Medicine · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1205832979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2005 (20.819532494631 yrs)
- Last Updated
- Mar 30, 2021
- License
-
0101027355 (VA)
Practice Information
- Address
-
351 EDWIN DRSTE 102VIRGINIA BEACH, VA, 234624559Browse VA providers · Browse ZIP 23462
- Phone
- 7574995550
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MITCHELL B MILLER | MD | 1902809437 |
| DR. ANTHONY KIELER RICE JR. | M.D. | 1043214927 |
| DR. MICHELLE ELIZABETH KINGSBURY | MD | 1669473260 |
| DR. NELSON MARC KARP | MD | 1942201504 |
| DR. WAYNE TEMPLETON FULLER | M.D. | 1508867672 |
| BRIAN RICHARD DOEREN | MD | 1467453563 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.