Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth M Vandervelde Jr., MD

Individual provider Surgery Physician · NPI 1417925702

Kenneth M Vandervelde Jr., MD is a Surgery Physician in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7775 Angling Rd
Portage, MI 49024
Phone: (269) 321-9970
Fax: (269) 321-9972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence KV029466 (MI)

Record details

NPI number1417925702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 10, 2006
Last updated in NPPESJuly 13, 2026

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