Vanosdol, Kelvin D.

Vanosdol, Kelvin D. is an individual health care provider with primary practice located at 1900 S National Ave Suite 3600, Springfield MO 65804-2265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vanosdol, Kelvin D. can be contacted via phone (417) 820-3911.

Contact Information

Primary practice address
1900 S National Ave Suite 3600 Springfield MO 65804-2265
Phone: (417) 820-3911
Fax: (417) 820-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R5E16 Missouri

Profile Details

NPI number 1861593105
LBN Legal business name Vanosdol, Kelvin D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861593105 NPPES
Missouri MEDICAID 202065728

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