Individual
KEVIN W. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 COLISEUM DR, SUITE 300, HAMPTON, VA 23666-5906
(757) 452-3441
(757) 224-1799
Mailing address
4000 COLISEUM DR, SUITE 300, HAMPTON, VA 23666-5906
(757) 452-3441
(757) 224-1799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101050661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007502532
—
VA
01
—
326593
ANTHEM BC BS
VA
01
—
55957
SENTARA HEALTHCARE
VA
Enumeration date
01/09/2006
Last updated
09/30/2011
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