Individual
DR. KELVIN D. VANOSDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 S NATIONAL AVE, SUITE 3600, SPRINGFIELD, MO 65804-2265
(417) 820-3911
(417) 820-3924
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R5E16
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202065728
—
MO
Enumeration date
09/26/2006
Last updated
07/15/2008
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