Individual
KELLY LYNN VANDERHAVE
Active
Individual
KELLY LYNN VANDERHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012-02054
NC
207X00000X
Orthopaedic Surgery Physician
4301069717
MI
207X00000X
Orthopaedic Surgery Physician
MD190912
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2012-02054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053375170
—
NC
05
—
5922062
—
NC
05
—
NC1738
—
SC
Enumeration date
04/14/2006
Last updated
10/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up