First, let me note that my definition of "strongly inaccessible" is that a nonzero ordinal $\kappa$ is strongly inaccessible if ${\rm cf}(\kappa)=\kappa$ and $\forall\alpha<\kappa, {\cal P}(\alpha)\prec\kappa$ in the sense of an injection from ${\cal P}(\alpha)$ to $\kappa$. (Thus $\omega$ is strongly inaccessible, although it is probably not important.)
The only way I know to prove that $|V_\kappa|=\kappa$ is to prove that $V_\alpha\prec\kappa$ for all $\alpha<\kappa$ by induction. If $V_\beta\prec\kappa$, then $|V_\beta|=\gamma$ for some $\gamma<\kappa$, and so $|V_{\beta+1}|=|{\cal P}(V_\beta)|=|{\cal P}(\gamma)|<\kappa$ since $\kappa$ is a strong limit. For limit ordinals $\alpha<\kappa$, $V_\alpha=\bigcup_{\beta<\alpha}V_\beta$, so since $V_\beta\prec\kappa$, $V_\alpha\preceq\alpha\times\kappa\prec\kappa\times\kappa\approx\kappa$ (where the inequalities correspond to injections and $\alpha\times\kappa$ is a cross product) by AC. Then we can finish by noting again that $V_\alpha\prec\kappa$ implies $V_\kappa=\bigcup_{\alpha<\kappa}V_\alpha\preceq\bigsqcup_{\alpha<\kappa}\kappa=\kappa\times\kappa\approx\kappa$, and $\kappa\subseteq V_\kappa$ so that $V_\kappa\approx\kappa$ by Schroder-Bernstein.
In the proof above, I used AC twice, in the claim that $\forall \alpha<\kappa,A_\alpha\preceq B$ implies $\bigcup_{\alpha<\kappa}A_\alpha\preceq\kappa\times B$. Is it possible to generalize the approach of this question to avoid AC altogether? Also, it appears I only used the strong limit property above, without ever using the fact that $\kappa$ is regular. That can't be right; is it true that $|V(\beth_\omega)|=\beth_\omega$?
Edit: The above transfinite induction proof has a flaw in it in the limit step. For limit ordinals $\alpha<\kappa$, $V_\alpha=\bigcup_{\beta<\alpha}V_\beta$, so since $V_\beta\prec\kappa$, $V_\alpha\preceq\alpha\times\kappa\preceq\kappa\times\kappa\approx\kappa$ by AC, but the inequality is not strict. To make it strict, we note that if $|V_\alpha|=\kappa$, then the function $f:\alpha\to\kappa$ defined by $f(\beta)=|V_\beta|$ is a cofinal map, so ${\rm cf}(\kappa)=\kappa\le\alpha$, a contradiction. Thus $|V_\alpha|<\kappa$. So it is not true that strong limits are sufficient to ensure that $|V_\kappa|=\kappa$.