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KIMBERLY VANDAHM
NPI 1245609833
Physician Assistant in Frankfort, MI

Active since September 24, 2015
826 FOREST AVE, FRANKFORT, MI 49635(231) 352-5285(231) 352-6384 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2017, Dec 7, 2015 (2 updates tracked since 2015).

About Kimberly Vandahm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY VANDAHM (NPI 1245609833) is an individual physician assistant in Frankfort, Michigan, licensed in Michigan (5601007351) and active in the NPI registry since September 2015. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1245609833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY VANDAHM
Location Address826 FOREST AVEFrankfort, MI 49635-9003
Mailing Address6227 Frankfort HwyBenzonia, MI 49616-8632 · (231) 882-9661
Phone(231) 352-5285
Fax(231) 352-6384
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateOctober 25, 20172 updates tracked since enumeration
✔ NPI 1245609833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601007351
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
826 FOREST AVE, Frankfort, MI 49635
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Secondary Practice Location 1

Location 1100 Michigan St NEGrand Rapids, MI 49503-2560 · Phone (616) 391-3431 · Fax (616) 391-2783

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELA COFFIA NP
Nurse Practitioner (Family)
826 FOREST AVE
FRANKFORT, MI 49635
Benzie County (231) 352-5285
GERARD J MAHONEY D.O.
Family Medicine
826 FOREST AVE
FRANKFORT, MI 49635
Benzie County (231) 352-5285
CRYSTAL LAKE CLINIC P.C.
Family Medicine
826 FOREST AVE
FRANKFORT, MI 49635
Benzie County (231) 352-5285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Vandahm's NPI number?

The NPI number for Kimberly Vandahm is 1245609833. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Kimberly Vandahm located?

Kimberly Vandahm practices at 826 Forest Ave, Frankfort, MI 49635. The listed phone number is (231) 352-5285.

What is Kimberly Vandahm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Vandahm was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.