Individual
KATHRYN AULT VANDERVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1803 W 6TH ST, LAWRENCE, KS 66044-1710
(785) 841-7297
(785) 576-1587
Mailing address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(785) 841-7297
(785) 856-0375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-45550
KS
208000000X
Pediatrics Physician
2018024689
MO
208M00000X
Hospitalist Physician
54109
AZ
Other
Enumeration date
05/24/2014
Last updated
07/27/2025
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