Healthcare Provider Details

I. General information

NPI: 1023263357
Provider Name (Legal Business Name): DIRK DUNFEE A.R.N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 09/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 SOUTHWEST BLVD
KANSAS CITY KS
66103-2150
US

IV. Provider business mailing address

340 SOUTHWEST BLVD
KANSAS CITY KS
66103-2150
US

V. Phone/Fax

Practice location:
  • Phone: 913-722-3100
  • Fax: 816-722-2542
Mailing address:
  • Phone: 913-722-3100
  • Fax: 816-722-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number200741852RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTMP139491
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: