Individual
KIMBERLY DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1836
(712) 737-2000
Mailing address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1836
(712) 737-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0682
SD
363A00000X
Physician Assistant
Primary
078081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078081
LICENSE
IA
Enumeration date
08/01/2008
Last updated
02/09/2023
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