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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY LYNN VANDERHAVE, MD

Active

KELLY LYNN VANDERHAVE, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in CHARLOTTE, North Carolina. NPI 1053375170 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · CHARLOTTE, NC

Registration Details

NPI Number
1053375170
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2006 (20.326025081193 yrs)
Last Updated
Oct 20, 2025
Licenses
2012-02054 (NC)
MD190912 (OR)
2012-02054 (NC)
4301069717 (MI)

Practice Information

Address
1025 MOREHEAD MEDICAL DRIVE
SUITE 300
CHARLOTTE, NC, 282042966
Browse NC providers · Browse ZIP 28204
Phone
7043555982
Fax
7043555984
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery

Other Adult Reconstructive Orthopaedic Surgery Providers in CHARLOTTE, NC

Name Credential NPI
JOSEPH JOHN ESTWANIK M.D. 1548223092
DR. FLETCHER RICHARD PREUSS III MD 1770043663
DR. BENJAMIN BURKE ROTHRAUFF MD, PHD 1275096331
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.