Kevin Gregory Vardon in Grand Haven - Physician Assistant

Kevin Gregory Vardon - NPI 1508870718

Kevin Gregory Vardon is a Physician Assistant in Grand Haven, Michigan. Kevin Gregory Vardon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Gregory Vardon is 1508870718. The last update date is 2023-02-06.

Kevin Gregory Vardon's current location address is 15100 Whittaker Way, Grand Haven, Michigan. You can contact this provider via phone number 6169356320. The mailing address for Kevin Gregory Vardon is 15100 Whittaker Way, Grand Haven, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Gregory Vardon
Address 15100 Whittaker Way, Grand Haven, Michigan
Phone Number 6169356320
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1508870718
Provider Enumeration Date 2006-07-27
Last Updated Date 2023-02-06

Provider Mailing Address Detail

Address 15100 Whittaker Way
City Grand Haven
State Michigan (MI)
Post Code 494178696
Phone Number 6169356320
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601004839
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kevin Gregory Vardon

What is the unique provider identifier assigned to Kevin Gregory Vardon?

The Kevin Gregory Vardon has been issued the NPI (National Provider Identifier) 1508870718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kevin Gregory Vardon?

The Kevin Gregory Vardon is physically situated at 15100 Whittaker Way, in the city of Grand Haven, state of MI, with the postal code 494178696.

What is Kevin Gregory Vardon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin Gregory Vardon is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508870718 to Kevin Gregory Vardon?

The Centers for Medicare & Medicaid Services originally issued the 1508870718 to Kevin Gregory Vardon on 2006-07-27.

As of what date were the details related to Kevin Gregory Vardon most recently updated or revised?

The information pertaining to Kevin Gregory Vardon, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-06.

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