Kevin L Vanallen in Grand Haven - General Practice
Kevin L Vanallen - NPI 1154373249
Kevin L Vanallen is a General Practice in Grand Haven, Michigan. Kevin L Vanallen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin L Vanallen is 1154373249. The last update date is 2021-02-16.
Kevin L Vanallen's current location address is 15100 Whittaker Way, Grand Haven, Michigan. You can contact this provider via phone number 6169356200. The mailing address for Kevin L Vanallen is 15100 Whittaker Way, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin L Vanallen |
|---|---|
| Address | 15100 Whittaker Way, Grand Haven, Michigan |
| Phone Number | 6169356200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154373249 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2021-02-16 |
Provider Mailing Address Detail
| Address | 15100 Whittaker Way |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 4941786960 |
| Phone Number | 6169356200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 4301053221 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4770010 | MI | -- | |
| 4770020 | MI | -- | |
| 1598712390 | MI | GROUP NPI | |
| 4770001 | MI | -- | |
| 804103371 | MI | BCBS | |
| 4773881 | MI | -- | |
| 4773952 | MI | -- |
Post Comment/ Review Below
What is the Kevin L Vanallen's unique identification number?
The Kevin L Vanallen has been assigned the NPI (National Provider Identifier) Number 1154373249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kevin L Vanallen?
The Kevin L Vanallen is situated at 15100 Whittaker Way, in the city of Grand Haven, state of MI, with the zip code 4941786960.
What is the Kevin L Vanallen's specialty and taxonomy code?
The Kevin L Vanallen's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did the Kevin L Vanallen receive its 1154373249?
The Kevin L Vanallen was issued its 1154373249 on 2006-05-17, which is the date when the organization was assigned this unique identifier.
When was the Kevin L Vanallen's information last updated?
The Kevin L Vanallen's information was last updated on 2021-02-16.