Kenneth M Vandervelde in Portage - Surgery
Kenneth M Vandervelde - NPI 1417925702
Kenneth M Vandervelde is a Surgery in Portage, Michigan. Kenneth M Vandervelde practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth M Vandervelde is 1417925702. The last update date is 2007-07-08.
Kenneth M Vandervelde's current location address is 7775 Angling Rd, Portage, Michigan. You can contact this provider via phone number 2693219970 and fax number 2693219972. The mailing address for Kenneth M Vandervelde is 7775 Angling Rd, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth M Vandervelde |
|---|---|
| Address | 7775 Angling Rd, Portage, Michigan |
| Phone Number | 2693219970 |
| Fax Number | 2693219972 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417925702 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7775 Angling Rd |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 49024 |
| Phone Number | 2693219970 |
| Fax Number | 2693219972 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | KV029466 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1395346 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth M Vandervelde by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth M Vandervelde has been assigned the NPI (National Provider Identifier) 1417925702. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kenneth M Vandervelde is geographically located?
The Kenneth M Vandervelde is physically situated at the following location: 7775 Angling Rd, Portage, MI, 49024.
What is Kenneth M Vandervelde's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth M Vandervelde is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Kenneth M Vandervelde receive the assignment of its 1417925702 from the Centers for Medicare & Medicaid Services?
The Kenneth M Vandervelde was issued its 1417925702 by the Centers for Medicare & Medicaid Services on 2006-03-10.
As of what date were the details related to Kenneth M Vandervelde most recently updated or revised?
The information pertaining to Kenneth M Vandervelde, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1316921448
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