Individual
KATHLEEN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(330) 715-4017
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
485486
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.0039968
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN.CNP.0039968
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.0039968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158862
—
OH
Enumeration date
04/15/2025
Last updated
04/21/2026
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