| Doctor Name: | KATHRYN VANDER VEEN |
| NPI Number: | 1962648162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.N., A.P.R.N. |
| License Number: | A-114107 |
| Business Practice Address: | 498 4th Ave Ne Sioux Center, IA - 512501606 |
| Business Phone Number: | 7127226428 |
| Business Fax Number: | |
| Mailing Address: | 6667 160th St, HARRIS |
| State: | IA |
| Postal Code: | 513457512 |
| Phone Number: | 7127226428 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-114107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |