National Provider Identifier
Kenneth G Vandine, MD
Kenneth G Vandine, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Wellsville, NY and a listed phone number of (585) 593-6041.
Profile Overview
- NPI
- 1336255983
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- August 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 12 Martin St
- Wellsville, NY 14895-1057
Phone: (585) 593-6041
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1336255983
- Entity Type
- Individual
- Last Name
- Vandine
- First Name
- Kenneth
- Middle Name
- G
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 12 Martin St
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-1057
- Mailing Country
- US
- Mailing Phone
- (585) 593-6041
- Mailing Fax
- (585) 593-4919
- Practice Street Address
- 12 Martin St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1057
- Practice Country
- US
- Practice Phone
- (585) 593-6041
- Practice Fax
- (585) 593-4919
- Enumeration Date
- August 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 00468048 (NY)