KEITH CHARLES VANSEN PAC
NPI 1386764124
Physician Assistant - Surgical in Detroit, MI
About Keith Charles Vansen Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH CHARLES VANSEN PAC (NPI 1386764124) is an individual surgical provider in Detroit, Michigan, licensed in Michigan (5601001903) and active in the NPI registry since March 2007. He maintains a secondary practice location in Southfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
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 Keith Vansen's NPI number?
The NPI number for Keith Vansen is 1386764124. It was assigned to this individual provider in the NPPES registry on March 29, 2007.
Where is Keith Vansen located?
Keith Vansen practices at 3980 John R, Detroit, MI 48201. The listed phone number is (888) 362-2500.
What is Keith Vansen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
What insurance does Keith Vansen accept?
Health plans from McLaren Health Plan Community and Priority Health list Keith Vansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keith Vansen was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Keith Charles Vansen, PAC · NPI 1386764124
Surgical physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1386764124 (Entity type: Individual)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601001903 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3980 JOHN R, Detroit, MI 48201
- **Phone:** (888) 362-2500
## Record status
- **NPPES last updated:** July 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1386764124) · Data from the CMS NPPES public registry.