KENNETH D DYKSTRA MD NPI 1710916341

NPI Information

Kenneth D Dykstra, MD is a pediatric endocrinology pediatrics in Wichita, KS. The provider is 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 size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Kenneth D Dykstra, MD NPI is 1710916341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3243 E MURDOCK ST
SUITE #500
WICHITA, KS
ZIP 67208-052
Phone: (316) 962-2080
Fax: (316) 962-2079

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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