Individual
MARK D KOCHENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2013 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-0103
Mailing address
2013 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-0103
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101244463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396720454
ANTHEM
VA
05
—
1396720454
—
VA
Enumeration date
12/13/2005
Last updated
02/05/2013
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