| Kenneth M Vandervelde Jr, MD | |
|
7775 Angling Rd, Portage, MI 49024 | |
| (269) 321-9970 | |
| (269) 321-9972 |
| Full Name | Kenneth M Vandervelde Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 7775 Angling Rd, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417925702 | NPI | - | NPPES |
| 1395346 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | KV029466 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M Vandervelde Jr, MD 7775 Angling Rd, Portage, MI 49024 Ph: (269) 321-9970 | Kenneth M Vandervelde Jr, MD 7775 Angling Rd, Portage, MI 49024 Ph: (269) 321-9970 |
Dr. Karen M Buckley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St Ste 100, Portage, MI 49024 Phone: 269-372-3000 | |
Dr. Kimberly Clawson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Portage, MI 49024 Phone: 269-372-3000 |