Dakota Chase Ecklund, | |
510 S Westview Dr, Derby, KS 67037-1340 | |
(316) 869-6961 | |
Not Available |
Full Name | Dakota Chase Ecklund |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 510 S Westview Dr, Derby, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376310979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 23-51030-061 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dakota Chase Ecklund, 2012 S Edmunds St, Seattle, WA 98108-1927 Ph: () - | Dakota Chase Ecklund, 510 S Westview Dr, Derby, KS 67037-1340 Ph: (316) 869-6961 |
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