Dr. Kenneth Edward Fore II, MD
Psychiatry & Neurology, Psychiatry in Portsmouth, VA. Individual provider (NPI-1).
NPI number1407059637
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1407059637
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Edward Fore II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2007
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 0101247468 | VA | Yes |
Practice location
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone 757-953-5000
Mailing address
620 John Paul Jones CirPortsmouth, VA 23708-2111
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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