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Kevin Vandokkumburg, PA-C
Surgical Physician Assistant in Grand Rapids, Michigan
NPI 1134514490

Kevin Vandokkumburg is a Surgical Physician Assistant based in Grand Rapids, MI and is specialized in Surgical. Kevin Vandokkumburg practices in Grand Rapids, MI and has the professional credentials of PA-C. The NPI Number for Kevin Vandokkumburg is 1134514490 and holds a License No. 5601007350 (Michigan).

The current practice location address for Kevin Vandokkumburg is 2144 E Paris Ave Se Ste 240, Grand Rapids, MI and can be reached out via phone at 616-949-8945 and via fax at 616-949-1115.

Location: 2144 E Paris Ave Se Ste 240, Grand Rapids, MI, 49546-6117
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Provider Profile Details
NPI Number
1134514490
Provider Name
Kevin Vandokkumburg
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2144 E Paris Ave Se Ste 240, Grand Rapids, MI, 49546-6117
Phone Number
616-949-8945
Fax Number
616-949-1115
Provider Enumeration Date
04/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134514490 05 MI
institution
Provider Business Practice Location Address Details
Address
2144 E Paris Ave Se Ste 240
City
State
Zip
49546-6117
Phone Number
616-949-8945
Fax Number
616-949-1115
person
Provider Business Mailing Address Details
Address
2144 E Paris Ave Se Ste 240
City
State
Zip
49546-6117
Phone Number
616-949-8945
Fax Number
616-949-1115
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007350 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601007350 (Michigan)
Definition
Definition to come...
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