Keith Vandyke is a Clinical in Muskegon, Michigan. Keith Vandyke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith Vandyke is 1316045255. The last update date is 2009-04-08.
Keith Vandyke's current location address is 125 E Southern Ave, Muskegon, Michigan. You can contact this provider via phone number 2317243699 and fax number 2317243659. The mailing address for Keith Vandyke is 125 E Southern Ave, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keith Vandyke |
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Address | 125 E Southern Ave, Muskegon, Michigan |
Phone Number | 2317243699 |
Fax Number | 2317243659 |
Sole Proprietor | N |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1316045255 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2009-04-08 |
Provider Mailing Address Detail
Address | 125 E Southern Ave |
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City | Muskegon |
State | Michigan (MI) |
Post Code | 494425041 |
Phone Number | 2317243699 |
Fax Number | 2317243659 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801035950 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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KV035950 | MI | BCBS PIN |
Post Comment/ Review Below
What is the Keith Vandyke's 1316045255?
The Keith Vandyke's NPI (National Provider Identifier) Number is 1316045255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Keith Vandyke is geographically located?
The Keith Vandyke is physically situated at the following location: 125 E Southern Ave, Muskegon, MI, 494425041.
What is the Keith Vandyke's specialty and taxonomy code?
The Keith Vandyke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Keith Vandyke receive its 1316045255 assignment from the Centers for Medicare & Medicaid Services?
The Keith Vandyke was assigned its 1316045255 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information related to Keith Vandyke most recently updated or refreshed?
The details pertaining to the Keith Vandyke, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-08.