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Dr. Kenneth Anthony Dietrich, MD,MBA
Pediatric Critical Care Medicine Physician in Elma, Washington
NPI 1245288752

Kenneth Anthony Dietrich is a Pediatric Critical Care Medicine Physician based in Elma, WA and is specialized in Pediatric Critical Care Medicine. Kenneth Anthony Dietrich practices in Elma, WA and has the professional credentials of MD,MBA. The NPI Number for Kenneth Anthony Dietrich is 1245288752 and holds a License No. 27133 (Washington).

The current practice location address for Kenneth Anthony Dietrich is 600 E Main St, Elma, WA and can be reached out via phone at 360-346-2240 and via fax at 360-346-2192.

Location: 600 E Main St, Elma, WA, 98541-9560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245288752
Provider Name
Kenneth Anthony Dietrich
Credential
MD,MBA
Provider Entity Type
Individual
Gender
Male
Address
600 E Main St, Elma, WA, 98541-9560
Phone Number
360-346-2240
Fax Number
360-346-2192
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 E Main St
City
Elma
State
Washington
Zip
98541-9560
Phone Number
360-346-2240
Fax Number
360-346-2192
person
Provider Business Mailing Address Details
Address
600 E Main St
City
Elma
State
Washington
Zip
98541-9560
Phone Number
360-346-2240
Fax Number
360-346-2192
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
27133 (Washington)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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