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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN CLAYTON DIETRICH, M.D.

Active

DR. KEVIN CLAYTON DIETRICH, M.D. is a Ophthalmology healthcare provider located in ELKART, Indiana. NPI 1639597636 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · ELKART, IN

Registration Details

NPI Number
1639597636
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2014 (12.383121809652 yrs)
Last Updated
Aug 14, 2025
License
01095440A (IN)

Practice Information

Address
2746 OLD US 20 WEST
SUITE B
ELKART, IN, 465141365
Browse IN providers · Browse ZIP 46514
Phone
5742933545
Fax
5745220599
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology
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.