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Individual

DR. KAISA M. VANDERKOOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1474 MARKET ST, TALLAHASSEE, FL 32312-1768
(850) 233-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(850) 233-3376
(850) 522-8354

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME109089
FL
207ND0900X
Dermatopathology Physician
4301086274
MI
207NS0135X
Procedural Dermatology Physician
4301086274
MI

Other

Enumeration date
05/25/2007
Last updated
03/04/2026
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