Dietrich, Kenneth Anthony
Dietrich, Kenneth Anthony is an individual health care provider with primary practice located at 600 E Main St , Elma WA 98541-9560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Dietrich, Kenneth Anthony can be contacted via phone (360) 346-2240.Contact Information
Primary practice address
600 E Main St
Elma WA 98541-9560
Phone: (360) 346-2240
Fax: (360) 346-2192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 27133 | Washington |
Profile Details
| NPI number | 1245288752 |
|---|---|
| LBN Legal business name | Dietrich, Kenneth Anthony |
| Credentials | M.D., MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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