MR. Kevin Lee Vandenheuvel
NPI #1578910394 in Enterprise, Oregon
Provider Information
- NPI Number
- 1578910394
- Entity Type
- Individual
- Name
- MR. Kevin Lee Vandenheuvel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 23, 2016
- Last Updated
- Nov 10, 2017
Practice Location
- Address
- 603 MEDICAL PKWY
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-5124
- Phone
- (541) 426-4502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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