Individual
DR. KENNETH ANTHONY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2240
(360) 346-2192
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2240
(360) 346-2192
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
27133
WA
Other
Enumeration date
05/05/2006
Last updated
04/04/2019
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