Individual
KYLE KEITH VANKOEVERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 W 10TH AVE FL 5, COLUMBUS, OH 43210-1240
(614) 293-8074
(614) 293-3193
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8047
(614) 293-3193
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3513002
OH
207Y00000X
Otolaryngology Physician
4301100842
MI
Other
Enumeration date
06/05/2012
Last updated
10/22/2024
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