Dykstra, Kimberly
Dykstra, Kimberly is an individual health care provider with primary practice located at 1000 Lincoln Cir Se , Orange City IA 51041-1836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dykstra, Kimberly can be contacted via phone (712) 737-2000.Contact Information
Primary practice address
1000 Lincoln Cir Se
Orange City IA 51041-1836
Phone: (712) 737-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0682 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 078081 | Iowa |
Profile Details
| NPI number | 1215193966 |
|---|---|
| LBN Legal business name | Dykstra, Kimberly |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Feb 9th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215193966 | NPPES |
| Iowa | Other | 078081 | LICENSE |
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