person
Kevin L Vanallen, MD
General Practice Physician in Grand Haven, Michigan
NPI 1154373249

Kevin L Vanallen is a General Practice Physician based in Grand Rapids, MI. Kevin L Vanallen practices in Grand Haven, MI and has the professional credentials of MD. The NPI Number for Kevin L Vanallen is 1154373249 and holds a License No. 4301053221 (Michigan).

The current practice location address for Kevin L Vanallen is 15100 Whittaker Way, Grand Haven, MI and can be reached out via phone at 616-935-6200.

Location: 15100 Whittaker Way, Grand Haven, MI, 49503-2560
person
Provider Profile Details
NPI Number
1154373249
Provider Name
Kevin L Vanallen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15100 Whittaker Way, Grand Haven, MI, 49503-2560
Phone Number
616-935-6200
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4770010 05 MI
4770020 05 MI
1598712390 01 MI GROUP NPI
4770001 05 MI
0804103371 01 MI BCBS
4773881 05 MI
4773952 05 MI
institution
Provider Business Practice Location Address Details
Address
15100 Whittaker Way
City
State
Zip
49417-8696
Phone Number
616-935-6200
Fax Number
person
Provider Business Mailing Address Details
Address
15100 Whittaker Way
City
State
Zip
49417-8696
Phone Number
616-935-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301053221 (Michigan)
Definition
Definition to come...
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