Dykstra, Jordan Andrew

Dykstra, Jordan Andrew is an individual health care provider with primary practice located at 3901 Rainbow Blvd , Kansas City KS 66160-1554. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Dykstra, Jordan Andrew can be contacted via phone (913) 588-4852.

Contact Information

Primary practice address
3901 Rainbow Blvd Kansas City KS 66160-1554
Phone: (913) 588-4852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 94-10853 Kansas

Profile Details

NPI number 1336775402
LBN Legal business name Dykstra, Jordan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated May 14th, 2022 - about 4 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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