Most Relevant Information
Provider Data
| NPI Number: | 1003808437 |
| Provider Name: | CARL D DIRKS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 2002009759 |
Most Important Dates
| Enumeration Date: | 08/22/2005 |
| Last Updated: | 11/16/2017 |
Provider Practice Location
4320 WORNALL RD
SUITE 65
KANSAS CITY
MO
641115941
Practice Location Phone/Fax
| Phone: | 8169326100 |
| Fax: | 8169329002 |
Provider Mailing Location
901 E. 104TH ST.
MAILSTOP 400N
KANSAS CITY
MO
641319712
Provider Mailing Phone/Fax
| Phone: | 8165027104 |
| Fax: | 8169329670 |
Suggested EMR
Internist EMR