Kenneth D Dykstra in Wichita - Pediatric Endocrinology
Kenneth D Dykstra - NPI 1710916341
Kenneth D Dykstra is a Pediatric Endocrinology in Wichita, Kansas. Kenneth D Dykstra practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Kenneth D Dykstra is 1710916341. The last update date is 2012-02-03.
Kenneth D Dykstra's current location address is 3243 E Murdock St, Wichita, Kansas. You can contact this provider via phone number 3169622080 and fax number 3169622079. The mailing address for Kenneth D Dykstra is 3243 E Murdock St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Dykstra |
|---|---|
| Address | 3243 E Murdock St, Wichita, Kansas |
| Phone Number | 3169622080 |
| Fax Number | 3169622079 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710916341 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2012-02-03 |
Provider Mailing Address Detail
| Address | 3243 E Murdock St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672083052 |
| Phone Number | 3169622080 |
| Fax Number | 3169622079 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 28093 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12149357 | KS | MULTIPLAN | |
| 55541 | KS | BCBS | |
| 200626 | KS | HPK | |
| 11872 | KS | PHS | |
| 100333960A | KS | -- | |
| 16997 | KS | COVENTRY |
Post Comment/ Review Below
What is the Kenneth D Dykstra's 1710916341?
The Kenneth D Dykstra's NPI (National Provider Identifier) Number is 1710916341. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth D Dykstra's facilities are situated?
The facilities of Kenneth D Dykstra are physically located at the following address: 3243 E Murdock St, Wichita, KS, 672083052.
What is Kenneth D Dykstra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth D Dykstra's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710916341 to Kenneth D Dykstra?
The Centers for Medicare & Medicaid Services originally issued the 1710916341 to Kenneth D Dykstra on 2006-07-03.
As of what date were the Kenneth D Dykstra's details last updated?
The information pertaining to the Kenneth D Dykstra, including its address, specialty, and other details, was most recently updated on 2012-02-03.