Kathryn K Dierks
Emergency Physician
1227 E Rusholme St
Davenport
, Iowa 52803
Kathryn K Dierks
Emergency Physician
1227 E Rusholme St
Davenport
, Iowa 52803
(563) 421-7710
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kathryn K Dierks
- 1227 E Rusholme St
- Davenport, IA
- Zip : 52803-2459
- Fax : (563) 421-7710
- Phone : (563) 421-6610
Second Address
- Kathryn K Dierks
- 1227 E Rusholme St
- Davenport, IA
- Zip : 52803
- Fax : (563) 421-7710
- Phone : (563) 421-6610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 4179 | IA |
| N | 207P00000X | Emergency Physician | R-8630 | IA |
National Provider Identifier
| NPI | 1013143999 |
|---|---|
| Provider Name | Kathryn K Dierks |
| First Address | Davenport, IA 52803-2459 |
| Second Address | Davenport, IA 52803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2009 |
| Last Update Date | 12/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.