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Search › Michigan › 208600000X

Kenneth Vandervelde, MD

NPI 1417925702 · on the registry since 2006

Practice

Address
7775 Angling Rd
Portage, MI 49024
Phone
(269) 321-9970
Fax
(269) 321-9972
Organisation at this address
Ascension Medical Group Promed
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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