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KATHRYN AULT VANDERVELDE MD

Individual Provider (NPI-1) Active

Pediatrics

Provider Information

NPI Number
1891107892
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1803 W 6TH ST, LAWRENCE, KS, 660441710
Phone
(785) 841-7297
Fax
(785) 576-1587

Specialties & Taxonomies

Pediatrics License: MO #2018024689
Hospitalist License: AZ #54109
Pediatrics Primary License: KS #04-45550

All Addresses

LOCATION

1803 W 6TH ST

LAWRENCE, KS, 660441710

(785) 841-7297

MAILING

1312 W 6TH ST

LAWRENCE, KS, 660442219

(785) 841-7297