Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH ANTHONY DIETRICH, M.D., MBA
ActiveDR. KENNETH ANTHONY DIETRICH, M.D., MBA is a Pediatric Critical Care Medicine healthcare provider located in ELMA, Washington. NPI 1245288752 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · ELMA, WA
Registration Details
- NPI Number
- 1245288752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.23457653867 yrs)
- Last Updated
- Apr 4, 2019
- License
-
27133 (WA)
Practice Information
- Address
-
600 E MAIN STELMA, WA, 985419560Browse WA providers · Browse ZIP 98541
- Phone
- 3603462240
- Fax
- 3603462192
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.