Individual
KIM STUART VAN DER VEER
Active
Individual
KIM STUART VAN DER VEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X005017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000445021001
BLUE SHIELD PROV. #
NY
01
—
0013200
GHI
NY
01
—
10019433
CDPHP PROV. #
NY
01
—
141690724-01
PRISM PROV. #
NY
01
—
566114
UNITED HEALTHCARE
NY
01
—
911601
ACN GROUP
NY
01
—
X3317
BCBS PROV. #
NY
Enumeration date
03/27/2006
Last updated
07/08/2007
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