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

Kenneth Perry Vantassel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225581481

Kenneth Perry Vantassel is a Student in an Organized Health Care Education/Training Program in Camp Lejeune, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1225581481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2016
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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