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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KENNETH M VANDERVELDE JR. MD
NPI 1417925702
Surgery in Portage, MI

Active since March 10, 2006
7775 ANGLING RD, PORTAGE, MI 49024(269) 321-9970(269) 321-9972 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth M Vandervelde Jr. Md NPPES

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

KENNETH M VANDERVELDE JR. MD (NPI 1417925702) is an individual surgery provider in Portage, Michigan, licensed in Michigan (KV029466) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1417925702
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH M VANDERVELDE JR.Credential: MD
Location Address7775 ANGLING RDPortage, MI 49024
Mailing Address7775 Angling RdPortage, MI 49024 · (269) 321-9970 · Fax (269) 321-9972
Phone(269) 321-9970
Fax(269) 321-9972
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417925702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · KV029466
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7775 ANGLING RD, Portage, MI 49024
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Other Identifiers 1

Medicaid1395346MI

Other Providers at the Same Location NPPES 9

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

CHRISTINA M KEMPLE
Nurse Practitioner
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8670
MRS. BRITTANY MANNERS IMMINK PA
Physician Assistant
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8670
LESLIE A PRICE PA-C
Physician Assistant
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 321-7120
ASHLEY MARIE STOEHR PA
Physician Assistant
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8670
ZANE STAMPFLY PA-C
Physician Assistant
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8670
MORGAN VALENE ALEMAN MS, RDN
Dietitian, Registered
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (268) 321-7335
ASCENSION MEDICAL GROUP PROMED
Internal Medicine
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8670
DR. GUADALUPE CHAVEZ PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7775 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (641) 781-1559

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 Kenneth Vandervelde's NPI number?

The NPI number for Kenneth Vandervelde is 1417925702. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Kenneth Vandervelde located?

Kenneth Vandervelde practices at 7775 Angling Rd, Portage, MI 49024. The listed phone number is (269) 321-9970.

What is Kenneth Vandervelde's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Vandervelde was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.