Individual
DR. DIRCK LOUIS DEKEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7400 STATE LINE RD, SUITE 100, PRAIRIE VILLAGE, KS 66208-3444
(913) 588-6600
(916) 588-6655
Mailing address
PO BOX 953468, SAINT LOUIS, MO 63195-3468
(913) 588-6605
(913) 588-0888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1566
KS
152W00000X
Optometrist
200161249
MO
Other
Enumeration date
09/04/2006
Last updated
11/09/2022
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