SearchMichigan363A00000X

Kimberly Vandahm

NPI 1245609833 · on the registry since 2015

Practice

Address
826 Forest Ave
Frankfort, MI 49635
Phone
(231) 352-5285
Fax
(231) 352-6384
Organisation at this address
Crystal Lake Clinic P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 100 Michigan St Ne, Grand Rapids, MI

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan