person
Mr. Michael Henry Dykstra, RT(R)
Radiography Radiologic Technologist in Buechel, Kentucky
NPI 1124424908

Michael Henry Dykstra is a Radiography Radiologic Technologist based in Buechel, KY and is specialized in Radiography. Michael Henry Dykstra practices in Buechel, KY and has the professional credentials of RT(R). The NPI Number for Michael Henry Dykstra is 1124424908 and holds a License No. 10-056-10860 (Kentucky).

The current practice location address for Michael Henry Dykstra is 5314 Bannon Crossings Dr, Buechel, KY and can be reached out via phone at 502-320-7456.

Location: 5314 Bannon Crossings Dr, Buechel, KY, 40218-4023
person
Provider Profile Details
NPI Number
1124424908
Provider Name
Michael Henry Dykstra
Credential
RT(R)
Provider Entity Type
Individual
Gender
Male
Address
5314 Bannon Crossings Dr, Buechel, KY, 40218-4023
Phone Number
502-320-7456
Fax Number
Provider Enumeration Date
11/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5314 Bannon Crossings Dr
City
State
Zip
40218-4023
Phone Number
502-320-7456
Fax Number
person
Provider Business Mailing Address Details
Address
5314 Bannon Crossings Dr
City
State
Zip
40218-4023
Phone Number
502-320-7456
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
10-056-10860 (Kentucky)
Definition
Definition to come...
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