Dykstra, Kenneth D

Dykstra, Kenneth D is an individual health care provider with primary practice located at 3243 E Murdock St Suite #500, Wichita KS 67208-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Dykstra, Kenneth D can be contacted via phone (316) 962-2080.

Contact Information

Primary practice address
3243 E Murdock St Suite #500 Wichita KS 67208-3052
Phone: (316) 962-2080
Fax: (316) 962-2079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 28093 Kansas

Profile Details

NPI number 1710916341
LBN Legal business name Dykstra, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710916341 NPPES
Kansas Other 12149357 MULTIPLAN
Kansas Other 055541 MULTIPLAN
Kansas Other 200626 MULTIPLAN
Kansas Other 11872 MULTIPLAN
Kansas MEDICAID 100333960A MULTIPLAN
Kansas Other 16997 MULTIPLAN

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