Van Dyke, Leslie Polk

Van Dyke, Leslie Polk is an individual health care provider with primary practice located at 929 N Saint Francis Ave , Wichita KS 67214-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Van Dyke, Leslie Polk can be contacted via phone (316) 268-5000.

Contact Information

Primary practice address
929 N Saint Francis Ave Wichita KS 67214-3821
Phone: (316) 268-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R0114423 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 53-45551-051 Kansas

Profile Details

NPI number 1124023916
LBN Legal business name Van Dyke, Leslie Polk
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 7th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1124023916 NPPES
Kansas MEDICAID 200253540A
Kansas Other 8772NA

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