# KENNETH G VANDINE MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881783819
- **Authorized official:** ERIC PAUL VOSSLER (OFFICE MANAGER)
- **Authorized official phone:** (585) 593-6041

## Contact information

- **Practice address:** 12 MARTIN ST, WELLSVILLE, NY 14895-1057
- **Practice address phone:** (585) 593-6041
- **Mailing address:** 12 MARTIN ST, WELLSVILLE, NY 14895-1057
- **Mailing address phone:** (585) 593-6041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 10/04/2010
