Kelly L Vanderhave
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1025 Morehead Medical Drive Suite 300
Charlotte
, North Carolina 28204-2966
Kelly L Vanderhave
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1025 Morehead Medical Drive Suite 300
Charlotte
, North Carolina 28204-2966
(704) 355-5984
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kelly L Vanderhave
- Po Box 601372
- Charlotte, NC
- Zip : 28260-1372
- Fax : (704) 355-5984
- Phone : (704) 355-5982
Second Address
- Kelly L Vanderhave
- 1025 Morehead Medical Drive Suite 300
- Charlotte, NC
- Zip : 28204-2966
- Fax : (704) 355-5984
- Phone : (704) 355-5982
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 2012-02054 | NC |
| N | 207X00000X | Orthopaedic Surgeon | 4301069717 | MI |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2012-02054 | NC |
National Provider Identifier
| NPI | 1053375170 |
|---|---|
| Provider Name | Kelly L Vanderhave |
| First Address | Charlotte, NC 28260-1372 |
| Second Address | Charlotte, NC 28204-2966 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 03/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053375170 | (05) | NC |
| 5922062 | (05) | NC |
| H85221 | (02) | |
| NC1738 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.