Dirksen, Kevin J

Dirksen, Kevin J is an individual health care provider with primary practice located at 3421 W 9Th St , Waterloo IA 50702-5401. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Dirksen, Kevin J can be contacted via phone (757) 561-4487.

Contact Information

Primary practice address
3421 W 9Th St Waterloo IA 50702-5401
Phone: (757) 561-4487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6124 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 6124 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2464790 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H161051 Iowa

Profile Details

NPI number 1063992857
LBN Legal business name Dirksen, Kevin J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Oct 20th, 2020 - about 6 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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