KEVIN J DIRKSEN

WATERLOO, IA
NPI1063992857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IA  H161051)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MN  6124)
363LA2100X Nurse Practitioner, Acute Care
(Licence: MN  6124)
363LA2100X Nurse Practitioner, Acute Care
(Licence: MN  2464790)
Enumeration Date2018-08-21
Last Update Date2020-10-20
Business Address
KEVIN J DIRKSEN ARNP
3421 W 9TH ST
WATERLOO, IA 50702-5401
Phone number: 757-561-4487
Mailing Address
KEVIN J DIRKSEN ARNP
3421 W 9TH ST
WATERLOO, IA 50702-5401
Phone number: 319-272-8349