Individual
KIMBERLY ANN VONDERLIETH
Active
Individual
KIMBERLY ANN VONDERLIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9101648
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104257000
—
FL
01
—
LS853
FL MEDICARE
FL
01
—
LY388
FL MEDICARE
FL
Enumeration date
03/27/2008
Last updated
11/17/2025
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