Individual
DAVID K VANDEKIEFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7500
(231) 258-7527
Mailing address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7500
(231) 258-7527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
183
WY
363A00000X
Physician Assistant
20768
MT
363A00000X
Physician Assistant
Primary
5601004449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457567851
—
ID
05
—
1457567851
—
MT
01
—
M011002915
MEDICARE PTAN
MT
Enumeration date
05/15/2007
Last updated
11/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us