DR. KENNETH J VANDERKOLK (NPI# 1649447004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649447004 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J VANDERKOLK |
| Credential | M.D. |
| Practice Address |
3839 Cook Valley Blvd Se Grand Rapids MI 49546-8333 |
| Practice Telephone | 6169541957 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301020891 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3839 COOK VALLEY BLVD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992864185 | Thomas James Gordon | Obstetrics & Gynecology | 320 Fulton St E, Grand Rapids, MI 49503-4302 | 2006-12-06 |
| 1972507911 | John Patrick Lagrand | Obstetrics & Gynecology | 230 Michigan St Ne, Ste 102, Grand Rapids, MI 49503-2550 | 2005-06-08 |
| 1629615646 | Womens Health Collective Pllc | Obstetrics & Gynecology | 630 Kenmoor Ave Se Ste 103, Grand Rapids, MI 49546-8626 | 2019-12-09 |
| 1447521109 | Deborah Clare Margules | Obstetrics & Gynecology | 1001 Medical Park Dr Se, Suite 112, Grand Rapids, MI 49546-3610 | 2012-01-25 |
| 1730350497 | Davis L Dalton Do PC | Obstetrics & Gynecology | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2008-03-20 |
| 1275524878 | Charles W Newton IIi | Obstetrics & Gynecology | 425 Cherry St Se, Grand Rapids, MI 49503-4601 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532330 | Rula Al-aouar Plc | Obstetrics & Gynecology | 2380 W Warren Street, Dearborn Heights, MI 48127-2276 | 2020-09-14 |
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1013335504 | Evelyn Hall | Obstetrics & Gynecology | 504 Catherine St, Ann Arbor, MI 48104-1433 | 2014-04-01 |
| 1740616804 | Mohammad Amin Ariani | Obstetrics & Gynecology | 65 Belle Meade St, Grosse Pointe Shores, MI 48236-1552 | 2013-09-20 |
| 1548564164 | Joseph Lee Decook | Obstetrics & Gynecology | 2238 Tony Ave, Fennville, MI 49408-9463 | 2010-12-23 |
| 1992005821 | Diana L. Cohen, D.o., P.C. | Obstetrics & Gynecology | 1240 S Lapeer Rd, Suite 101b, Lake Orion, MI 48360-1470 | 2010-10-26 |
| 1386961498 | Zeenat Anwar | Obstetrics & Gynecology | 3820 Gratiot Ave, Port Huron, MI 48060-1536 | 2010-04-28 |
| 1063658755 | Joseph Kroon | Obstetrics & Gynecology | 656 Wellington Cres, Mount Clemens, MI 48043-2949 | 2008-12-30 |
| 1386805158 | Francis Darling | Obstetrics & Gynecology | 9062 Lake Dominion Dr, Brighton, MI 48114-9104 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. KENNETH J VANDERKOLK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.