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Contact Information

JORDAN A DYKSTRA, MD
10740 NALL AVE
OVERLAND PARK, KS66211-1367
 Phone: 913-588-1227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JORDAN A DYKSTRA · (Male)

NPI # 1336775402
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2020
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-51181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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